| Ms Kathleen Ann Petro, FNP-BC | |
|
705 E Washington Ave, Riverton, WY 82501-4452 | |
| (307) 463-0541 | |
| (307) 463-0494 |
| Full Name | Ms Kathleen Ann Petro |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 30 Years |
| Location | 705 E Washington Ave, Riverton, 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 |
|---|---|---|---|
| 1730203613 | NPI | - | NPPES |
| 314168 | Other | BCBS | |
| 122992300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 15565.0169 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sagewest Health Care | Riverton, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hometown Freedom Healthcare Llc | 0042688822 | 5 |
| Entity Name | Lander Womens Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932547171 PECOS PAC ID: 3375779838 Enrollment ID: O20131112000944 |
| Entity Name | Hometown Freedom Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093447021 PECOS PAC ID: 0042688822 Enrollment ID: O20221129001510 |
| Entity Name | Compassionate Concierge Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003452301 PECOS PAC ID: 4284069378 Enrollment ID: O20230928002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathleen Ann Petro, FNP-BC 705 E Washington Ave, Riverton, WY 82501-4452 Ph: (307) 463-0541 | Ms Kathleen Ann Petro, FNP-BC 705 E Washington Ave, Riverton, WY 82501-4452 Ph: (307) 463-0541 |
Samantha Suh Morgan, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 511 N 12th St E, Riverton, WY 82501 Phone: 307-463-4488 | |
Jadell Hovander, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 716 College View Dr Ste A, Riverton, WY 82501 Phone: 307-840-0717 | |
Dawn Marie Dubeau, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 E Washington Ave, Riverton, WY 82501 Phone: 307-463-0541 Fax: 307-463-0494 | |
Kyle Leslie Anderson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1035 Rose Ln, Riverton, WY 82501 Phone: 307-463-6300 | |
Tara Blumenshine, APRN, CNM FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 E Washington Ave, Riverton, WY 82501 Phone: 307-463-0541 Fax: 307-463-0541 | |
Ms. Brianne Marie Siebert, DNP, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 511 N 12th St E, Riverton, WY 82501 Phone: 307-856-9281 | |
Enedina Vasco, ENEDINA VASCO DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 E Washington Ave, Riverton, WY 82501 Phone: 307-463-0541 |