Mary Widener, - Medicare Physician Assistant in Gillette, WY

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Mary Widener, is a medicare enrolled "Physician Assistant" in Gillette, Wyoming. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Big Horn Health Network, Teton County Hospital District and her current practice location is 407 S Medical Arts Ct Ste F, Gillette, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 688-9255.

Mary Widener is licensed to practice in Wyoming (license number 511) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508164856.

Contact Information

Mary Widener,
407 S Medical Arts Ct Ste F,
Gillette, WY 82716-3372
(307) 688-9255
Not Available

Map and Direction




Provider's Profile

Full NameMary Widener
GenderFemale
SpecialityPhysician Assistant
Experience16 Years
Location407 S Medical Arts Ct Ste F, Gillette, Wyoming
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Widener graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1508164856
  • Provider Enumeration Date: 03/10/2011
  • Last Update Date: 05/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2567603210
  • Enrollment ID: I20130723000954

Medical Identifiers

Medical identifiers for Mary Widener such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508164856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA53799 (California)Secondary
363A00000XPhysician Assistant 511 (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sheridan Memorial HospitalSheridan, WYHospital
St Johns Medical CenterJackson, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Big Horn Health Network125447648484
Teton County Hospital District4880582295107

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. Mary Widener allows following entities to bill medicare on her behalf.
Entity NameTeton County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487818605
PECOS PAC ID: 4880582295
Enrollment ID: O20040308000954
Entity NameMemorial Hospital of Sheridan County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487707188
PECOS PAC ID: 2163405440
Enrollment ID: O20040608001286
Entity NameBig Horn Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861722688
PECOS PAC ID: 1254476484
Enrollment ID: O20100226000582

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. Mary Widener 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
Mary Widener,
407 S Medical Arts Ct Ste F,
Gillette, WY 82716-3372

Ph: Not Available		Mary Widener,
407 S Medical Arts Ct Ste F,
Gillette, WY 82716-3372

Ph: (307) 688-9255

Reviews and Comments


Physician Assistant Nurses in Gillette, WY

Candace M Winters, PA
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Jordyn Riley Walter, PA-C
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Mrs. Alison M Brady, PA-C
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Moriahn Wilson, PA-C
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Mindy Keil, PA-C
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Dylan Lindsay, PA-C
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Phone: 307-686-1413    

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.