| Sara C Burnside, PCSW | |
|
389 Adams St, Afton, WY 83110 | |
| (307) 885-9883 | |
| Not Available |
| Full Name | Sara C Burnside |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 389 Adams St, Afton, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023468634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PCSW-673 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Star Valley Medical Center | Afton, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Lincoln County Hospital District | 4789580218 | 64 |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730132523 PECOS PAC ID: 4789580218 Enrollment ID: O20031208000415 |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255376406 PECOS PAC ID: 4789580218 Enrollment ID: O20101103000284 |
| Entity Name | High Country Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457472748 PECOS PAC ID: 0648454587 Enrollment ID: O20110418000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara C Burnside, PCSW 901 Adams St, Afton, WY 83110-9621 Ph: (307) 885-9883 | Sara C Burnside, PCSW 389 Adams St, Afton, WY 83110 Ph: (307) 885-9883 |
Reed Lesuma, PCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 389 Adams St., Afton, WY 83110 Phone: 307-885-9883 Fax: 307-885-5206 | |
Lorry Stufflebeam, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 3rd Ave, Afton, WY 83110 Phone: 307-522-1541 Fax: 307-459-6800 | |
Barbara Merritt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 389 Adams St, Afton, WY 83110 Phone: 307-885-9883 Fax: 307-885-5206 |