Summit Memorial Medical Group Llc - Medicare Primary Care in Casper, WY

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Summit Memorial Medical Group Llc is a medicare enrolled primary clinic (General Practice) in Casper, Wyoming. The current practice location for Summit Memorial Medical Group Llc is 6500 E 2nd St, Casper, Wyoming. For appointments, you can reach them via phone at (307) 577-1000. The mailing address for Summit Memorial Medical Group Llc is 222 S 5th St, Douglas, Wyoming and phone number is (307) 358-1459.

Summit Memorial Medical Group Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598469462. 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 (307) 577-1000.

Contact Information

Summit Memorial Medical Group Llc
6500 E 2nd St
Casper
WY 82609-4338
(307) 577-1000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSummit Memorial Medical Group Llc
SpecialityGeneral Practice
Location6500 E 2nd St, Casper, Wyoming
Authorized Official Name and PositionJames Cussins (CFO)
Authorized Official Contact3072866738
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Summit Memorial Medical Group Llc
222 S 5th St
Douglas
WY 82633-2534

Ph: (307) 358-1459		Summit Memorial Medical Group Llc
6500 E 2nd St
Casper
WY 82609-4338

Ph: (307) 577-1000

NPI Details:

NPI Number1598469462
Provider Enumeration Date03/27/2023
Last Update Date10/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1254876683
Medicare Enrollment IDO20240710002657

Medical Identifiers

Medical identifiers for Summit Memorial Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598469462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (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. Summit Memorial Medical Group Llc acts as a billing entity for following providers:
Provider NameJonathan P Binder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841214954
PECOS PAC ID: 0941291405
Enrollment ID: I20040521001379
Provider NameJoseph K Schoeber
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740233071
PECOS PAC ID: 6709775075
Enrollment ID: I20040623000332
Provider NameTodd A Hammond
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1659359610
PECOS PAC ID: 4183683410
Enrollment ID: I20041004000516
Provider NameAngelo Mario Santiago
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1598792483
PECOS PAC ID: 0749249860
Enrollment ID: I20041006000204
Provider NameJoseph E Mickelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467448043
PECOS PAC ID: 2668365008
Enrollment ID: I20050822000307
Provider NameSherrill A Fox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124034566
PECOS PAC ID: 0345244851
Enrollment ID: I20060913000619
Provider NameGeoffrey Sherman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275787087
PECOS PAC ID: 3971665001
Enrollment ID: I20081223000464
Provider NameBrehan Newell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922335579
PECOS PAC ID: 0840332110
Enrollment ID: I20100126000750
Provider NameEric Schubert
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1275594467
PECOS PAC ID: 6901808054
Enrollment ID: I20111116000964
Provider NameKerry K Fischer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437522125
PECOS PAC ID: 7012217557
Enrollment ID: I20151204001554
Provider NameJamie C Kidder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114402849
PECOS PAC ID: 1254677487
Enrollment ID: I20190109002197
Provider NameJennifer Ella Wagy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861042392
PECOS PAC ID: 2567896061
Enrollment ID: I20191216001545
Provider NameSara M Thronburg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225662216
PECOS PAC ID: 0840620951
Enrollment ID: I20200413003035
Provider NameCristian Adrian Balcescu
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1306231832
PECOS PAC ID: 8426489022
Enrollment ID: I20210721003224
Provider NameBrittany Ann Myers
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1396237889
PECOS PAC ID: 5799012183
Enrollment ID: I20220815001699
Provider NameKeith L Murdock
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1326305509
PECOS PAC ID: 6901112614
Enrollment ID: I20220818002955
Provider NameJoseph Gutman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780633875
PECOS PAC ID: 9234298027
Enrollment ID: I20221026001414
Provider NameDanielle Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861180473
PECOS PAC ID: 5597109454
Enrollment ID: I20240219002626
Provider NameBengt Grua
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1275093650
PECOS PAC ID: 6305171554
Enrollment ID: I20240815000207
Provider NamePhillip Kravetz
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1881660264
PECOS PAC ID: 9830151703
Enrollment ID: I20240820001784
Provider NameRobert Shawhan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1841581287
PECOS PAC ID: 8921315581
Enrollment ID: I20240906001023
Provider NameElias Hsu
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1902077332
PECOS PAC ID: 3577638188
Enrollment ID: I20241105004130

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.