Amy R Surdam, NP - Medicare Nurse Practitioner in Cheyenne, WY

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Amy R Surdam, NP is a medicare enrolled "Nurse Practitioner" in Cheyenne, Wyoming. Her current practice location is 433 E 19th St, Cheyenne, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 635-5393.

Amy R Surdam is licensed to practice in Wyoming (license number 18161.0312) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629099312.

Contact Information

Amy R Surdam, NP
433 E 19th St,
Cheyenne, WY 82001-4643
(307) 635-5393
(307) 635-2199

Map and Direction




Provider's Profile

Full NameAmy R Surdam
GenderFemale
SpecialityNurse Practitioner
Location433 E 19th St, Cheyenne, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629099312
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 06/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4587619507
  • Enrollment ID: I20050623000401

Medical Identifiers

Medical identifiers for Amy R Surdam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629099312NPI-NPPES
121544200MedicaidWY
313763OtherWYBLUE SHIELD
P00251860OtherWYRAILROAD MEDICARE
23339OtherWYWINHEALTH PARTNERS
82009A055OtherWYWPS TRIWEST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 18161.0312 (Wyoming)Primary

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. Amy R Surdam allows following entities to bill medicare on her behalf.
Entity NameCare United Medical Center Of Laramie Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063720605
PECOS PAC ID: 7719168491
Enrollment ID: O20110301000527
Entity NameInstaclinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659978401
PECOS PAC ID: 2769894997
Enrollment ID: O20201212000212

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. Amy R Surdam 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
Amy R Surdam, NP
Po Box 20170,
Cheyenne, WY 82003-7004

Ph: (307) 635-5393		Amy R Surdam, NP
433 E 19th St,
Cheyenne, WY 82001-4643

Ph: (307) 635-5393

Reviews and Comments


Nurse Practitioner Nurses in Cheyenne, WY

Christy Marie Burd,
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Erin Taylor Mcintyre,
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Patrick Fitzgerald, APRN
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Practice Location: 2508 E Fox Farm Rd, Cheyenne, WY 82007
Phone: 307-635-3618    Fax: 307-635-1442

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.