<unavail> in Cheyenne, WY - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Cheyenne, Wyoming. The current practice location for is 1920 Thomes Ave Ste 610, Cheyenne, Wyoming. For appointments, you can reach them via phone at (919) 932-0928. The mailing address for is 510 Meadowmont Village Cir Ste 323, Chapel Hill, North Carolina and phone number is (919) 932-0928.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639781875. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (919) 932-0928.

Contact Information


	1920 Thomes Ave Ste 610 Cheyenne WY 82001-3548
	(919) 932-0928
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	1920 Thomes Ave Ste 610, Cheyenne, Wyoming
Authorized Official Name and Position	Ronald Michael Creatore (CFO)
Authorized Official Contact	9199320928
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
510 Meadowmont Village Cir Ste 323 Chapel Hill NC 27517-7584 Ph: (919) 932-0928	1920 Thomes Ave Ste 610 Cheyenne WY 82001-3548 Ph: (919) 932-0928

NPI Details:

NPI Number	1639781875
Provider Enumeration Date	08/19/2020
Last Update Date	10/18/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	3779986617
Medicare Enrollment ID	O20210729001337

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639781875	NPI	-	NPPES
2020-000937164	Other	WY	WYOMING SECRETARY OF STATE IDENTIFICATION NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Robert Park
Provider Type	Practitioner - Emergency Medicine
Provider Identifiers	NPI Number: 1124121348 PECOS PAC ID: 1557390267 Enrollment ID: I20210818001694

Reviews and Comments

Family Medicine in Cheyenne, WY

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- Medicare Primary Care in Cheyenne, WY