Mrs Rauli Jo Perry, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Pinedale, Wyoming. Her current practice location is
625 E Hennick St, Pinedale, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 367-4133.
Mrs Rauli Jo Perry is licensed to practice in Wyoming (license number 54282) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144982190.
Provider's Profile
| Full Name | Mrs Rauli Jo Perry |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Women's Health |
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| Location | 625 E Hennick St, Pinedale, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144982190
- Provider Enumeration Date: 10/07/2021
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527450717
- Enrollment ID: I20220120001486
Medical Identifiers
Medical identifiers for Mrs Rauli Jo Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144982190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | 53557 (Idaho) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 54282 (Wyoming) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | 215881 (Montana) | Secondary |
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. Mrs Rauli Jo Perry allows following entities to bill medicare on her behalf.
| Entity Name | St Lukes Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899 |
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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. Mrs Rauli Jo Perry 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 Address | Practice Location Address |
|---|
Mrs Rauli Jo Perry, WHNP-BC
Po Box 1333,
Pinedale, WY 82941-1333
Ph: (208) 404-5228 | Mrs Rauli Jo Perry, WHNP-BC
625 E Hennick St,
Pinedale, WY 82941-5228
Ph: (307) 367-4133 |
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