Brent Blue, MD - Medicare Family Practice in Jackson, WY

Brent Blue, MD is a medicare enrolled "Family Medicine" physician in Jackson, Wyoming. He went to University Of Louisville School Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Family Practice. His current practice location is 555 E Broadway Ave Ste 207, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 733-8002.

Brent Blue is licensed to practice in Wyoming (license number 3416A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063467538.

Contact Information

Brent Blue, MD
555 E Broadway Ave Ste 207,
Jackson, WY 83001-8640
(307) 733-8002
(307) 739-4811

Map and Direction




Physician's Profile

Full NameBrent Blue
GenderMale
SpecialityFamily Practice
Experience48 Years
Location555 E Broadway Ave Ste 207, Jackson, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brent Blue attended and graduated from University Of Louisville School Of Medicine in 1976
  NPI Data:
  • NPI Number: 1063467538
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 01/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2466403886
  • Enrollment ID: I20100920000271

Medical Identifiers

Medical identifiers for Brent Blue such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063467538NPI-NPPES
102017000MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A31472 (California)Secondary
261QU0200XClinic/center - Urgent Care 3416A (Wyoming)Secondary
207Q00000XFamily Medicine 3416A (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Johns Medical CenterJackson, WYHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brent Blue allows following entities to bill medicare on his behalf.
Entity NameBrent Blue Md
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356556518
PECOS PAC ID: 2466434113
Enrollment ID: O20040604000956

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brent Blue is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brent Blue, MD
Po Box 428,
Jackson, WY 83001-0428

Ph: (307) 733-8002
Brent Blue, MD
555 E Broadway Ave Ste 207,
Jackson, WY 83001-8640

Ph: (307) 733-8002

Reviews and Comments


Family Medicine Doctors in Jackson, WY

Dr. Robert D. Langer, M.D., M.P.H.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 555 E. Broadway, Suite 108, Jackson, WY 83001
Phone: 307-733-4452    Fax: 877-596-6503
Dr. David P Kappenman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1415 S Hwy 89, Jackson, WY 83001
Phone: 307-739-8999    
Dr. Kevin Sanville, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1415 S Hwy 89, Jackson, WY 83001
Phone: 307-739-8999    Fax: 307-739-9222
Ms. Kathryn Manning Noyes, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 555 E Broadway Ave Ste 108, Jackson, WY 83001
Phone: 307-734-1313    
Dr. James William Raniolo, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1490 Gregory Ln, Jackson, WY 83001
Phone: 307-200-4850    Fax: 888-282-0008
Dr. James R Little Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1415 S Hwy 89, Jackson, WY 83001
Phone: 307-739-8999    Fax: 307-739-4811
Richard Greer Sugden, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 557 E Broadway Ave, Jackson, WY 83001
Phone: 307-733-7771    Fax: 307-733-8276

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.