| Memorial Hospital Of Laramie County | |
|
214 E 23rd St Cheyenne WY 82001-3748 | |
| (307) 634-2273 | |
| (307) 633-3018 |
| Full Name | Memorial Hospital Of Laramie County |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 214 E 23rd St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Brad White (REVENUE CYCLE ADMINISTRATOR) |
| Authorized Official Contact | 3076336198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital Of Laramie County 214 E 23rd St Cheyenne WY 82001-3748 Ph: (307) 634-2273 | Memorial Hospital Of Laramie County 214 E 23rd St Cheyenne WY 82001-3748 Ph: (307) 634-2273 |
| NPI Number | 1285621839 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 09/23/2025 |
| Certification Date | 09/23/2025 |
| Medicare PECOS PAC ID | 1557357555 |
|---|---|
| Medicare Enrollment ID | O20040423001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285621839 | NPI | - | NPPES |
| 107334600 | Medicaid | WY | |
| 107334602 | Medicaid | WY |
| Provider Name | Robert L Tobin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912967050 PECOS PAC ID: 9234122466 Enrollment ID: I20040413001763 |
| Provider Name | Harmon H Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215972054 PECOS PAC ID: 5092706515 Enrollment ID: I20040521001224 |
| Provider Name | Shannon Lynn Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952384927 PECOS PAC ID: 6204864564 Enrollment ID: I20050728001062 |
| Provider Name | Lawrence W Oholleran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225004187 PECOS PAC ID: 0345272472 Enrollment ID: I20051117000679 |
| Provider Name | Steven D Reeb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154367845 PECOS PAC ID: 8628097508 Enrollment ID: I20051121000638 |
| Provider Name | Maristela Batezini |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225085392 PECOS PAC ID: 5698779866 Enrollment ID: I20060830000189 |
| Provider Name | William A Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295718013 PECOS PAC ID: 2961584867 Enrollment ID: I20080131000162 |
| Provider Name | Deborah Brackett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306978580 PECOS PAC ID: 3375618408 Enrollment ID: I20080825000022 |
| Provider Name | Karen W Leung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730211905 PECOS PAC ID: 3678636859 Enrollment ID: I20090114000367 |
| Provider Name | Jennifer E Thobro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104951995 PECOS PAC ID: 1850433723 Enrollment ID: I20100115000494 |
| Provider Name | Roy Alan Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043259641 PECOS PAC ID: 5799773214 Enrollment ID: I20101207000563 |
| Provider Name | Gregory E Stampfli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174637359 PECOS PAC ID: 0244428241 Enrollment ID: I20101216001103 |
| Provider Name | John D Muir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780809707 PECOS PAC ID: 1254506165 Enrollment ID: I20111205000384 |
| Provider Name | Gregory G Marino |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023054285 PECOS PAC ID: 1456401983 Enrollment ID: I20121213000490 |
| Provider Name | Randy Everett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285680306 PECOS PAC ID: 4587665492 Enrollment ID: I20130211000514 |
| Provider Name | Ashlee A Mickelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881978435 PECOS PAC ID: 7113164476 Enrollment ID: I20130507000000 |
| Provider Name | Prabhu D Emmady |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801056247 PECOS PAC ID: 1355582487 Enrollment ID: I20130731000855 |
| Provider Name | Natalie A Workman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598096182 PECOS PAC ID: 9032343579 Enrollment ID: I20131016000715 |
| Provider Name | Cheryl A. Pushcar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386072965 PECOS PAC ID: 5799914537 Enrollment ID: I20140128000124 |
| Provider Name | Shannon L Treptow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982909693 PECOS PAC ID: 0143400028 Enrollment ID: I20140707000640 |
| Provider Name | Sahar Abdallah Abdelqader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366600710 PECOS PAC ID: 6002092418 Enrollment ID: I20140917001115 |
| Provider Name | Jasper James Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922121318 PECOS PAC ID: 9234300138 Enrollment ID: I20141007000282 |
| Provider Name | Tracie A. Caller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164645206 PECOS PAC ID: 9234350059 Enrollment ID: I20141021000643 |
| Provider Name | Brahmananda K Koduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659608214 PECOS PAC ID: 0547584427 Enrollment ID: I20150124000015 |
| Provider Name | Douglas A Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467611806 PECOS PAC ID: 7911179353 Enrollment ID: I20150723008343 |
| Provider Name | Yojna Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982043949 PECOS PAC ID: 9032423686 Enrollment ID: I20150727002929 |
| Provider Name | Paula M Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083624266 PECOS PAC ID: 7012930498 Enrollment ID: I20150828001087 |
| Provider Name | Daniel D Rivard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942475298 PECOS PAC ID: 0446322853 Enrollment ID: I20160706002652 |
| Provider Name | Tyler T Leigh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952523482 PECOS PAC ID: 2365621083 Enrollment ID: I20160719001051 |
| Provider Name | Kelly G Follett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225355985 PECOS PAC ID: 8426283607 Enrollment ID: I20160803001906 |
| Provider Name | Ann Marie Bernardine Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437585890 PECOS PAC ID: 4981991692 Enrollment ID: I20160923001260 |
| Provider Name | Kristin Nicole Begger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173098 PECOS PAC ID: 5496034746 Enrollment ID: I20161109002304 |
| Provider Name | Anna D'hooge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962831248 PECOS PAC ID: 4880973361 Enrollment ID: I20161128002289 |
| Provider Name | Traci White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518945518 PECOS PAC ID: 4587578588 Enrollment ID: I20161205000772 |
| Provider Name | Natalie Villalobos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134591498 PECOS PAC ID: 1759650971 Enrollment ID: I20170703000709 |
| Provider Name | April Kranz-ferguson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205014560 PECOS PAC ID: 8426191149 Enrollment ID: I20170725004380 |
| Provider Name | Joseph Looby |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1528003829 PECOS PAC ID: 7315901402 Enrollment ID: I20170919000332 |
| Provider Name | Jessica Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114368131 PECOS PAC ID: 9830333731 Enrollment ID: I20171010002204 |
| Provider Name | Kathlene Mondanaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295117539 PECOS PAC ID: 8921313727 Enrollment ID: I20180803002621 |
| Provider Name | Vivek Yarlagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669836854 PECOS PAC ID: 2860740727 Enrollment ID: I20180808003961 |
| Provider Name | Sisham Ingnam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427484682 PECOS PAC ID: 5991085193 Enrollment ID: I20180911000521 |
| Provider Name | Russell J Tafoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093980575 PECOS PAC ID: 2466703418 Enrollment ID: I20181001003123 |
| Provider Name | Steven E Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891956371 PECOS PAC ID: 9638347321 Enrollment ID: I20190109002848 |
| Provider Name | Sriharsha Dadana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679924385 PECOS PAC ID: 3173856960 Enrollment ID: I20190611000440 |
| Provider Name | Anusha Kondapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033564851 PECOS PAC ID: 7113287020 Enrollment ID: I20190717001623 |
| Provider Name | Vijaya Kollipara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487007985 PECOS PAC ID: 5597051615 Enrollment ID: I20190723003047 |
| Provider Name | Muhammad Adil Mumtaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750837910 PECOS PAC ID: 7810225711 Enrollment ID: I20190829002236 |
| Provider Name | Krisinda Michelle White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336797166 PECOS PAC ID: 2264763150 Enrollment ID: I20191007003309 |
| Provider Name | Lillah Joy Grinnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629336979 PECOS PAC ID: 2264678291 Enrollment ID: I20191106000258 |
| Provider Name | Timothy Masters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386150928 PECOS PAC ID: 2567896897 Enrollment ID: I20191219001998 |
| Provider Name | Marianne Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936932 PECOS PAC ID: 0345667036 Enrollment ID: I20200826001463 |
| Provider Name | Jannene Sneddon Sebesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033724661 PECOS PAC ID: 1658790316 Enrollment ID: I20200929002841 |
| Provider Name | Brian B Friis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245686484 PECOS PAC ID: 7012244536 Enrollment ID: I20201117001633 |
| Provider Name | Greta Skagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396350898 PECOS PAC ID: 7113338864 Enrollment ID: I20201201002272 |
| Provider Name | Amy Mavy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942490792 PECOS PAC ID: 8820405921 Enrollment ID: I20210407000663 |
| Provider Name | Tyler Maxey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316432289 PECOS PAC ID: 5698024149 Enrollment ID: I20210610002777 |
| Provider Name | Gregory Courson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407425184 PECOS PAC ID: 3971906603 Enrollment ID: I20210719003098 |
| Provider Name | Karen Wineteer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427542737 PECOS PAC ID: 8921356791 Enrollment ID: I20210731000276 |
| Provider Name | Benjamin Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720513971 PECOS PAC ID: 3779837851 Enrollment ID: I20220228002538 |
| Provider Name | Alexa Jade Sikora |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811653629 PECOS PAC ID: 8123412392 Enrollment ID: I20220303002593 |
| Provider Name | Deven Duus Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437565629 PECOS PAC ID: 0941506729 Enrollment ID: I20220324001915 |
| Provider Name | Mark Reilly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699799981 PECOS PAC ID: 3678529302 Enrollment ID: I20220331000353 |
| Provider Name | Kahla Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851845697 PECOS PAC ID: 0042606824 Enrollment ID: I20220404001120 |
| Provider Name | Joanne Laura Hassell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700172434 PECOS PAC ID: 2466848098 Enrollment ID: I20220408000225 |
| Provider Name | Sai Giridhar Gundepalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477048593 PECOS PAC ID: 6507118833 Enrollment ID: I20220608003298 |
| Provider Name | Nancy A Bergquist |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336290683 PECOS PAC ID: 7214172436 Enrollment ID: I20220627002105 |
| Provider Name | Raja Shekar Rao Rao Jadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568022952 PECOS PAC ID: 7810370442 Enrollment ID: I20220815003369 |
| Provider Name | Jason Signorelli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972035087 PECOS PAC ID: 1254684681 Enrollment ID: I20230124000713 |
| Provider Name | Matthew Measel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851594188 PECOS PAC ID: 5193993483 Enrollment ID: I20230227002543 |
| Provider Name | Bailey Lehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033828454 PECOS PAC ID: 7810362712 Enrollment ID: I20230406001239 |
| Provider Name | Thomas Oliver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477534808 PECOS PAC ID: 8224061098 Enrollment ID: I20230622000528 |
| Provider Name | Jennifer Rosenthal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265595748 PECOS PAC ID: 0446439160 Enrollment ID: I20230627003169 |
| Provider Name | Stephanie Schwartz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962102475 PECOS PAC ID: 8628438348 Enrollment ID: I20230713000615 |
| Provider Name | Scot Lewey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972695765 PECOS PAC ID: 4183613375 Enrollment ID: I20230728000664 |
| Provider Name | Shazia Rafiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548354939 PECOS PAC ID: 5799711545 Enrollment ID: I20230731001236 |
| Provider Name | Matthew Baechle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194354613 PECOS PAC ID: 0143645499 Enrollment ID: I20230802002820 |
| Provider Name | Benjamin Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235792375 PECOS PAC ID: 7618389867 Enrollment ID: I20230815003269 |
| Provider Name | Claire Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194384891 PECOS PAC ID: 5193109478 Enrollment ID: I20230818001766 |
| Provider Name | Mera Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699192963 PECOS PAC ID: 9133340979 Enrollment ID: I20231110002514 |
| Provider Name | Justin M Markow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336414168 PECOS PAC ID: 3971769928 Enrollment ID: I20231205003654 |
| Provider Name | Madison K Harlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851976591 PECOS PAC ID: 6204286347 Enrollment ID: I20240102001641 |
| Provider Name | Cherri Lynn Lester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619114030 PECOS PAC ID: 0648620732 Enrollment ID: I20240102003258 |
| Provider Name | Lisa M Osthoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598891467 PECOS PAC ID: 7911358841 Enrollment ID: I20240104003700 |
| Provider Name | Maelee Ann Havens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013424894 PECOS PAC ID: 8628429560 Enrollment ID: I20240104004225 |
| Provider Name | Lindsay Wortham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548703150 PECOS PAC ID: 4284086208 Enrollment ID: I20240116000925 |
| Provider Name | Ellen Song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215497888 PECOS PAC ID: 7012244973 Enrollment ID: I20240117003874 |
| Provider Name | Sara Parsons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235813403 PECOS PAC ID: 8527410133 Enrollment ID: I20240119000793 |
| Provider Name | Amy Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295500999 PECOS PAC ID: 7416309661 Enrollment ID: I20240123004390 |
| Provider Name | Gail White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104986066 PECOS PAC ID: 6406299676 Enrollment ID: I20240205004433 |
| Provider Name | Michael Patrick Mckee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902805096 PECOS PAC ID: 8628411295 Enrollment ID: I20240210000657 |
| Provider Name | Stacey Winters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619942331 PECOS PAC ID: 3274638606 Enrollment ID: I20240305003170 |
| Provider Name | Michael B Mccabe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538425087 PECOS PAC ID: 3971733700 Enrollment ID: I20240422002516 |
| Provider Name | Larry Lynn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396879292 PECOS PAC ID: 9638345259 Enrollment ID: I20240422002575 |
| Provider Name | Alexander Antoni Slota |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225514102 PECOS PAC ID: 2466996319 Enrollment ID: I20240702002117 |
| Provider Name | Mudassir Shah Akhter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114403151 PECOS PAC ID: 8628325495 Enrollment ID: I20240717003830 |
| Provider Name | Aaron Spurlock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194353169 PECOS PAC ID: 3870914823 Enrollment ID: I20240729004213 |
| Provider Name | Jennifer Howes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770720294 PECOS PAC ID: 2163678863 Enrollment ID: I20240730001613 |
| Provider Name | Janelle Fried |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922636059 PECOS PAC ID: 7618391137 Enrollment ID: I20240802002025 |
| Provider Name | Lane C Childs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831239995 PECOS PAC ID: 9436119211 Enrollment ID: I20240812003882 |
| Provider Name | Snieguole Radzeviciene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013990415 PECOS PAC ID: 1951344589 Enrollment ID: I20240813002965 |
| Provider Name | Niraj Hiro Pahlajani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730332693 PECOS PAC ID: 3375697253 Enrollment ID: I20240910003935 |
| Provider Name | Matthew Robinson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912989369 PECOS PAC ID: 1153233523 Enrollment ID: I20241008003669 |
| Provider Name | Mark Hazuka |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750361259 PECOS PAC ID: 2769516830 Enrollment ID: I20241025000377 |
| Provider Name | Sarah Elizabeth Washington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902468267 PECOS PAC ID: 6608300702 Enrollment ID: I20241112003759 |
| Provider Name | Eric Lauer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154533297 PECOS PAC ID: 2163573619 Enrollment ID: I20241114003566 |
| Provider Name | Charles Mateskon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639279763 PECOS PAC ID: 3678463437 Enrollment ID: I20241202001219 |
| Provider Name | Corrie Goodier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629745674 PECOS PAC ID: 2769876663 Enrollment ID: I20241203002821 |
| Provider Name | Danae L Stampfli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467476028 PECOS PAC ID: 0345200440 Enrollment ID: I20241209003554 |
| Provider Name | Virginia Lee Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578395539 PECOS PAC ID: 2062940588 Enrollment ID: I20250113000575 |
| Provider Name | Waymon Lattimore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437188679 PECOS PAC ID: 7911933148 Enrollment ID: I20250219003089 |
| Provider Name | Allison Felker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770939928 PECOS PAC ID: 8325583602 Enrollment ID: I20250224000203 |
| Provider Name | Keri D Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114371861 PECOS PAC ID: 6406155258 Enrollment ID: I20250227000065 |
| Provider Name | Timothy Waxweiler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093005738 PECOS PAC ID: 1759522931 Enrollment ID: I20250305003992 |
| Provider Name | Sarah Milgrom |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992937312 PECOS PAC ID: 9830310739 Enrollment ID: I20250305004070 |
| Provider Name | Sameer Nath |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669774386 PECOS PAC ID: 4183945538 Enrollment ID: I20250307001359 |
| Provider Name | David Binder |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629463153 PECOS PAC ID: 2466752795 Enrollment ID: I20250313003399 |
| Provider Name | Ryan Lanning |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023302148 PECOS PAC ID: 3274822127 Enrollment ID: I20250314001714 |
| Provider Name | Steven Steinberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225037062 PECOS PAC ID: 0345231023 Enrollment ID: I20250331000836 |
| Provider Name | Brian Kavanagh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518074350 PECOS PAC ID: 0547395451 Enrollment ID: I20250401000544 |
| Provider Name | Tyler Robin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013322577 PECOS PAC ID: 9537498019 Enrollment ID: I20250418002062 |
Mindfully Reconnect Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2321 Dunn Ave, Cheyenne, WY 82001 Phone: 307-640-1008 | |
Rescare Wyoming, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6215 Clear Creek Pkwy, Cheyenne, WY 82007 Phone: 307-432-9824 | |
Kw Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Pioneer Ave, Cheyenne, WY 82001 Phone: 970-315-2375 Fax: 844-965-9818 | |
2.0 Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 Dunn Ave, Cheyenne, WY 82001 Phone: 307-316-2757 Fax: 307-316-8811 | |
Kerry Collins, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 S Greeley Hwy Ste A, Cheyenne, WY 82007 Phone: 307-287-2971 | |
Gloria D Rutt Psyd Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Coulter Drive, Cheyenne, WY 82009 Phone: 307-286-4106 Fax: 307-632-6588 | |
Speak Life Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1816 E 17th St, Cheyenne, WY 82001 Phone: 307-426-4204 |