| Mrs Kelly K Simone, PA | |
|
777 Avenue H, Powell, WY 82435-2260 | |
| (307) 754-2267 | |
| Not Available |
| Full Name | Mrs Kelly K Simone |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 777 Avenue H, Powell, 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 |
|---|---|---|---|
| 1770529703 | NPI | - | NPPES |
| 106133017 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA313 (Wyoming) | Secondary |
| 363A00000X | Physician Assistant | PA313 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Powell Valley Hospital | Powell, WY | Hospital |
| Cody Regional Health | Cody, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Park Hospital District | 7315855624 | 85 |
| Billings Clinic | 6002993516 | 814 |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
| 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 | Billings Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346288347 PECOS PAC ID: 6002993516 Enrollment ID: O20080527000137 |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20090420000561 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly K Simone, PA 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267 | Mrs Kelly K Simone, PA 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267 |
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 |
Bryan Kenneth Tipton, PA-C, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217 |
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 |