Wagon Circle Family Medical Clinic | |
2012 W Elm Street Rawlins WY 82301 | |
(307) 324-9098 | |
(307) 324-6726 |
Full Name | Wagon Circle Family Medical Clinic |
---|---|
Speciality | Family Medicine |
Location | 2012 W Elm Street, Rawlins, Wyoming |
Authorized Official Name and Position | Michelle Keplinger (CFO) |
Authorized Official Contact | 3073248347 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wagon Circle Family Medical Clinic Po Box 944 Rawlins WY 82301-0944 Ph: (307) 324-9098 | Wagon Circle Family Medical Clinic 2012 W Elm Street Rawlins WY 82301 Ph: (307) 324-9098 |
NPI Number | 1508900341 |
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Provider Enumeration Date | 02/16/2007 |
Last Update Date | 06/15/2017 |
Medicare PECOS PAC ID | 9638067176 |
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Medicare Enrollment ID | O20040308000403 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508900341 | NPI | - | NPPES |
DD2243 | Other | WY | RR MEDICARE |
120726100 | Medicaid | WY | |
05726001 | Other | WY | BCBS OF WYOMING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4625A (Wyoming) | Primary |
Provider Name | Duane E Abels |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1700945789 PECOS PAC ID: 1153317680 Enrollment ID: I20040421001153 |
Provider Name | Joel M Pull |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265405666 PECOS PAC ID: 4789670233 Enrollment ID: I20040421001243 |
Provider Name | Vincent Hinshaw |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346286671 PECOS PAC ID: 7517928385 Enrollment ID: I20041025000728 |
Provider Name | Donald Carter Hansen |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1902845712 PECOS PAC ID: 1456394287 Enrollment ID: I20050602001043 |
Provider Name | Roy G Bryan |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366501264 PECOS PAC ID: 6608895412 Enrollment ID: I20051121000962 |
Provider Name | Justin A Lamb |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1417915430 PECOS PAC ID: 2668473315 Enrollment ID: I20071002000186 |
Provider Name | Edward D Zimmerman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386646669 PECOS PAC ID: 0042276990 Enrollment ID: I20080905000010 |
Provider Name | Razi Saydjari |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1902880628 PECOS PAC ID: 4385622034 Enrollment ID: I20080905000032 |
Provider Name | Mary Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639263650 PECOS PAC ID: 7810922093 Enrollment ID: I20081201000347 |
Provider Name | Gregory J Johnson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1467565754 PECOS PAC ID: 9436341161 Enrollment ID: I20101013000064 |
Provider Name | Palur V Sridharan |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1881672897 PECOS PAC ID: 2466646195 Enrollment ID: I20101027000263 |
Provider Name | Layne Keliiokalam Kamalu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104987916 PECOS PAC ID: 9335048701 Enrollment ID: I20111020000029 |
Provider Name | Joseph C Skinner |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1356325666 PECOS PAC ID: 1052464872 Enrollment ID: I20111025000899 |
Provider Name | Dirk E Bigler |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457304776 PECOS PAC ID: 7618900374 Enrollment ID: I20111209000397 |
Provider Name | Peter L Vance |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619056199 PECOS PAC ID: 0446207690 Enrollment ID: I20120330000265 |
Provider Name | Steven D Smith |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1770653321 PECOS PAC ID: 5092616490 Enrollment ID: I20120405000141 |
Provider Name | Christopher O Harker |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992992010 PECOS PAC ID: 0941498968 Enrollment ID: I20120522001258 |
Provider Name | James B Harris |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699854257 PECOS PAC ID: 6406757822 Enrollment ID: I20120806000860 |
Provider Name | Richard Whiting Bentley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1770781932 PECOS PAC ID: 3476621251 Enrollment ID: I20130827000692 |
Provider Name | Edwin Eugene Butler |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1831342799 PECOS PAC ID: 4385882299 Enrollment ID: I20131114002002 |
Provider Name | Ryan M Shedd |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1841259355 PECOS PAC ID: 5991784589 Enrollment ID: I20140224000562 |
Provider Name | David Behrmann |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1609037340 PECOS PAC ID: 4486803467 Enrollment ID: I20140716002277 |
Provider Name | Ahmad Alqaqa |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1962660423 PECOS PAC ID: 1951527415 Enrollment ID: I20140718002132 |
Provider Name | Anne W Giuliano |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1811938590 PECOS PAC ID: 2365489754 Enrollment ID: I20140925002237 |
Provider Name | Myka C Veigel |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1710151410 PECOS PAC ID: 3072755248 Enrollment ID: I20150204001031 |
Provider Name | Matthew E Williamson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467428540 PECOS PAC ID: 5395785935 Enrollment ID: I20150716003264 |
Provider Name | Steven A Larsen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508953555 PECOS PAC ID: 7517965064 Enrollment ID: I20150717001188 |
Provider Name | Nicholas S Pierson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1336309756 PECOS PAC ID: 3173755824 Enrollment ID: I20150724011601 |
Provider Name | Oussama Lawand |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1821283623 PECOS PAC ID: 8820302367 Enrollment ID: I20150728006391 |
Provider Name | Adam C Crawford |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1780011031 PECOS PAC ID: 2860622529 Enrollment ID: I20151005002040 |
Provider Name | Jared H Bailey |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1891929519 PECOS PAC ID: 1254528920 Enrollment ID: I20160125000897 |
Provider Name | Lorin C Bachman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144296203 PECOS PAC ID: 2163451592 Enrollment ID: I20160127001695 |
Provider Name | David M Cameron |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1386610442 PECOS PAC ID: 1658300082 Enrollment ID: I20160128000412 |
Provider Name | Mark N Hill |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1205829801 PECOS PAC ID: 3072517192 Enrollment ID: I20161104001805 |
Provider Name | Roderick Jack Willmore |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346538253 PECOS PAC ID: 5597997379 Enrollment ID: I20170602000855 |
Provider Name | Brett Scott Talbot |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1356630420 PECOS PAC ID: 9335434091 Enrollment ID: I20170606000883 |
Provider Name | Priyantha S Wijayagunaratne |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1710012851 PECOS PAC ID: 3577651330 Enrollment ID: I20170621002189 |
Provider Name | Brian Erickson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629064225 PECOS PAC ID: 5698792042 Enrollment ID: I20170831003026 |
Provider Name | Stephen R Parden |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982618260 PECOS PAC ID: 2062490527 Enrollment ID: I20171018001228 |
Provider Name | David O Lewis |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346397304 PECOS PAC ID: 5395733646 Enrollment ID: I20171128002188 |
Provider Name | Amanda Bisby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538687652 PECOS PAC ID: 7719245943 Enrollment ID: I20171218001301 |
Provider Name | Margaret Ruth Lake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639315518 PECOS PAC ID: 2365700291 Enrollment ID: I20171221002143 |
Provider Name | Penny M Sanderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013249929 PECOS PAC ID: 8426186230 Enrollment ID: I20180222002540 |
Provider Name | Vicki L Macy |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1619985686 PECOS PAC ID: 8527248210 Enrollment ID: I20180402001544 |
Provider Name | Kaare Kolstad |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1922042373 PECOS PAC ID: 5092760884 Enrollment ID: I20180430000703 |
Provider Name | Artur S Narkiewicz-jodko |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104188879 PECOS PAC ID: 3678846011 Enrollment ID: I20180619000473 |
Provider Name | Scott J Parker |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730447186 PECOS PAC ID: 9830340264 Enrollment ID: I20180719000174 |
Provider Name | Michael Sean Enslow |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1295094530 PECOS PAC ID: 4880964485 Enrollment ID: I20180720000888 |
Provider Name | John C Lumb |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1467403352 PECOS PAC ID: 1951408673 Enrollment ID: I20180815001954 |
Provider Name | Chere A Bohr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578057196 PECOS PAC ID: 1951651025 Enrollment ID: I20180911002633 |
Provider Name | Charles Grant |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1194273540 PECOS PAC ID: 0143501692 Enrollment ID: I20190327000713 |
Provider Name | Daniel John Wandsneider |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992191290 PECOS PAC ID: 4587961735 Enrollment ID: I20191104000878 |
Provider Name | Matthew Sprague Rice |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710957386 PECOS PAC ID: 8426309493 Enrollment ID: I20191104001419 |
Provider Name | Wallace J Salter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851491070 PECOS PAC ID: 4183618572 Enrollment ID: I20191112002628 |
Provider Name | Debra S Salter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285734491 PECOS PAC ID: 8325032717 Enrollment ID: I20191112003157 |
Provider Name | David Ross Taylor |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1003358722 PECOS PAC ID: 5597041848 Enrollment ID: I20191213001305 |
Provider Name | Jennifer Ella Wagy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861042392 PECOS PAC ID: 2567896061 Enrollment ID: I20191216001545 |
Provider Name | Darin W Allred |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1316074313 PECOS PAC ID: 7719913524 Enrollment ID: I20200115002255 |
Provider Name | William Carey Lake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497390017 PECOS PAC ID: 6204261977 Enrollment ID: I20200128000149 |
Provider Name | Gregory Renck |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20200423003056 |
Provider Name | Joseph Hime |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528324811 PECOS PAC ID: 8123337201 Enrollment ID: I20200430000405 |
Provider Name | Dwayne Narayan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20200430002266 |
Provider Name | Daniel S Madsen |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1104998137 PECOS PAC ID: 8123273497 Enrollment ID: I20200512001148 |
Provider Name | Cory J Spicer |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1932512811 PECOS PAC ID: 6002122603 Enrollment ID: I20200602000852 |
Provider Name | Abdur Rahman Khan |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1700132750 PECOS PAC ID: 5092043489 Enrollment ID: I20200616001349 |
Provider Name | Gary Mikesell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205884715 PECOS PAC ID: 7911933809 Enrollment ID: I20200727002581 |
Provider Name | Kyle C Anderson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1326383100 PECOS PAC ID: 2668627639 Enrollment ID: I20200902003226 |
Provider Name | James Lamousin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20201007000179 |
Provider Name | Christopher Williams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275524779 PECOS PAC ID: 3779586557 Enrollment ID: I20201030002138 |
Provider Name | Wilbur Charles Hitt |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598767725 PECOS PAC ID: 2961509401 Enrollment ID: I20201102000347 |
Provider Name | Jennifer L Motley |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073530689 PECOS PAC ID: 0244224053 Enrollment ID: I20201125001240 |
Provider Name | Lincoln J Westfall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235390337 PECOS PAC ID: 4183894728 Enrollment ID: I20210105000357 |
Provider Name | Jourdan Aromin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598150955 PECOS PAC ID: 4082942776 Enrollment ID: I20210127002872 |
Provider Name | Jeffrey F Liubicich |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210302001612 |
Provider Name | Grace Jackson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659460814 PECOS PAC ID: 4183760945 Enrollment ID: I20210420002650 |
Provider Name | Patricia Lea Shue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306238654 PECOS PAC ID: 4284020371 Enrollment ID: I20220329000977 |
Provider Name | Dustin Tew |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568821163 PECOS PAC ID: 7315225752 Enrollment ID: I20220513000905 |
Provider Name | Adam Fieber |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1093243784 PECOS PAC ID: 6709150105 Enrollment ID: I20220517001356 |
Provider Name | Stephen Hurwitz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20220622003477 |
Provider Name | Stephanie Wang |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1629067244 PECOS PAC ID: 0840195574 Enrollment ID: I20221208003085 |
Provider Name | Katarzyna Lameka |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164711487 PECOS PAC ID: 9234394073 Enrollment ID: I20221230001038 |
Provider Name | Sonia Otteman Klein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922728237 PECOS PAC ID: 0749651339 Enrollment ID: I20230118001528 |
Provider Name | Kyle Paul Arslanian |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144752882 PECOS PAC ID: 5597147819 Enrollment ID: I20230301002230 |
Provider Name | Stephen G Chang |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568451284 PECOS PAC ID: 9234110008 Enrollment ID: I20230330000347 |
Provider Name | Sabreen R Rahman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689833824 PECOS PAC ID: 4688857543 Enrollment ID: I20230413002505 |
Provider Name | Mark W. Slepian |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558350314 PECOS PAC ID: 3779488960 Enrollment ID: I20230921000696 |
Provider Name | Craig Edward Hancock |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1982693693 PECOS PAC ID: 7517871940 Enrollment ID: I20231013001119 |
Provider Name | Mark E. Dearing |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1386669372 PECOS PAC ID: 9436165321 Enrollment ID: I20231023003006 |
Provider Name | Eric Schackmuth |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1205817186 PECOS PAC ID: 7416853718 Enrollment ID: I20231024002434 |
Provider Name | Elizabeth Lagomarsino |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841301405 PECOS PAC ID: 5991707762 Enrollment ID: I20231102000731 |
Provider Name | Michelle Schofield |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20231130002385 |
Provider Name | Laura Ann Hogan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1588647861 PECOS PAC ID: 3072529346 Enrollment ID: I20240128000249 |
Provider Name | Matthew Curry |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548767544 PECOS PAC ID: 0840540241 Enrollment ID: I20240219001081 |
Provider Name | Synda Vandenmooter |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1588911259 PECOS PAC ID: 3779895727 Enrollment ID: I20240221000279 |
Provider Name | Troy Stonely |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124109970 PECOS PAC ID: 3274684139 Enrollment ID: I20240406000629 |
Provider Name | Natasha Nazari |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194285569 PECOS PAC ID: 6507192929 Enrollment ID: I20240423001096 |
Provider Name | William Kamens |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659733798 PECOS PAC ID: 6204252976 Enrollment ID: I20240429002901 |
Provider Name | Aisha Ahmed |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942737069 PECOS PAC ID: 9234408881 Enrollment ID: I20240509001836 |
Provider Name | Mark Shapiro |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1164405270 PECOS PAC ID: 5395701395 Enrollment ID: I20240516001053 |
Provider Name | Donald Blake |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1013908607 PECOS PAC ID: 5698959237 Enrollment ID: I20240605001814 |
The Meadowlark Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 W Spruce St Unit A, Rawlins, WY 82301 Phone: 307-328-5595 Fax: 307-328-5561 | |
Rawlins Family Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 23rd St, Rawlins, WY 82301 Phone: 307-324-6002 | |
V. Raja Chandra, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 8th St, Rawlins, WY 82301 Phone: 307-324-2294 Fax: 307-328-1964 | |
Whoa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Ash, Rawlins, WY 82301 Phone: 307-324-0092 Fax: 307-324-0092 | |
Rawlins Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2213 E Cedar St, Rawlins, WY 82301 Phone: 307-324-6711 | |
Cesko Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 W Maple St, Rawlins, WY 82301 Phone: 307-324-3667 Fax: 307-324-5591 |