| Bryan Kenneth Tipton, PA-C, MPAS | |
|
777 Avenue H, Powell, WY 82435-2260 | |
| (307) 754-7257 | |
| (307) 754-7217 |
| Full Name | Bryan Kenneth Tipton |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 777 Avenue H, Powell, Wyoming |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780149948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA827 (Wyoming) | Primary |
| 363AM0700X | Physician Assistant - Medical | PT827 (Wyoming) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Powell Valley Hospital | Powell, WY | Hospital |
| Cody Regional Health | Cody, WY | Hospital |
| Hot Springs County Memorial Hospital | Thermopolis, WY | Hospital |
| Washakie Medical Center | Worland, WY | Hospital |
| Billings Clinic Hospital | Billings, MT | Hospital |
| Powell Valley Health Care Inc | Powell, WY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| William H And Carrie Gottsche Foundation | 5092606293 | 73 |
| Powell Valley Healthcare Inc | 5092798561 | 31 |
| Entity Name | Washakie Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255368593 PECOS PAC ID: 2466369301 Enrollment ID: O20040312000646 |
| Entity Name | Hot Springs County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861550642 PECOS PAC ID: 9234020439 Enrollment ID: O20040324001069 |
| Entity Name | Powell Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699721316 PECOS PAC ID: 5092798561 Enrollment ID: O20040608000424 |
| Entity Name | Powell Valley Health Care Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497753115 PECOS PAC ID: 5092798561 Enrollment ID: O20090617000663 |
| Entity Name | Holistic Pain Management of Wyoming LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487295846 PECOS PAC ID: 0840621322 Enrollment ID: O20200518000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Kenneth Tipton, PA-C, MPAS 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267 | Bryan Kenneth Tipton, PA-C, MPAS 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-7257 |
Jana Keeler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257 |
Joseph Davidson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 E 7th St, Powell, WY 82435 Phone: 307-764-4107 |
Ms. Heather A Sanders, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 E 7th St, Powell, WY 82435 Phone: 307-764-4107 |
Lisa M Hobby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217 |
Gregory P Clark, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell Valley Healthcare Inc, Powell, WY 82435 Phone: 307-754-3405 Fax: 307-754-1207 |
Mrs. Kelly K. Simone, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267 |
Lisa A. Jarvis, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217 |