Wellness Wagon is a medicare enrolled primary clinic (Clinic/center) in Lingle, Wyoming. The current practice location for Wellness Wagon is 208 Main St #12, Lingle, Wyoming. For appointments, you can reach them via phone at
(970) 371-9038. The mailing address for Wellness Wagon is Po Box 2417, Cheyenne, Wyoming and phone number is (307) 638-0300.
Wellness Wagon is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1063005940. 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
(970) 371-9038.
Primary Care Clinic Profile
| Full Name | Wellness Wagon |
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| Speciality | Clinic/Center |
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| Location | 208 Main St #12, Lingle, Wyoming |
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| Authorized Official Name and Position | Jennifer Boxberger (OWNER) |
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| Authorized Official Contact | 9703719038 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Wellness Wagon
Po Box 2417
Cheyenne
WY 82003-2417
Ph: (307) 638-0300 | Wellness Wagon
208 Main St #12
Lingle
WY 82223
Ph: (970) 371-9038 |
NPI Details:
| NPI Number | 1063005940 |
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| Provider Enumeration Date | 02/11/2021 |
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| Last Update Date | 07/20/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8729477112 |
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| Medicare Enrollment ID | O20211104002349 |
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Medical Identifiers
Medical identifiers for Wellness Wagon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063005940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | (* (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.
Wellness Wagon acts as a billing entity for following providers:
| Provider Name | Jennifer Boxberger |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1730682295
PECOS PAC ID: 5890048748
Enrollment ID: I20181023003766 |
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