David K Custis, PA-C - Medicare Physician Assistant in Gillette, WY

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David K Custis, PA-C is a medicare enrolled "Physician Assistant" in Gillette, Wyoming. He went to University Of North Dakota School Of Medicine and graduated in 1982 and has 44 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Campbell County Hospital District and his current practice location is 501 S Burma Ave, Gillette, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 688-3636.

David K Custis is licensed to practice in Wyoming (license number PA832) 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 1477516540.

Contact Information

David K Custis, PA-C
501 S Burma Ave,
Gillette, WY 82716-3426
(307) 688-3636
(307) 688-7920

Map and Direction




Provider's Profile

Full NameDavid K Custis
GenderMale
SpecialityPhysician Assistant
Experience44 Years
Location501 S Burma Ave, Gillette, 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:
  • David K Custis attended and graduated from University Of North Dakota School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1477516540
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 07/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6305972571
  • Enrollment ID: I20190917002845

Medical Identifiers

Medical identifiers for David K Custis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477516540NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA832 (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Campbell County Memorial HospitalGillette, WYHospital
Monument Health Rapid City HospitalRapid city, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Campbell County Hospital District2860392529128

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. David K Custis allows following entities to bill medicare on his behalf.
Entity NameCampbell County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710098868
PECOS PAC ID: 2860392529
Enrollment ID: O20040206000510
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

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. David K Custis 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
David K Custis, PA-C
Po Box 3011,
Gillette, WY 82717-3011

Ph: (307) 688-1000		David K Custis, PA-C
501 S Burma Ave,
Gillette, WY 82716-3426

Ph: (307) 688-3636

Reviews and Comments


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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.