| Ms Kathleen Ann Petro, FNP-BC | |
|
15 Shrine Club Rd Ste B, Lander, WY 82520-8502 | |
| (307) 212-6270 | |
| (307) 212-6271 |
| Full Name | Ms Kathleen Ann Petro |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 30 Years |
| Location | 15 Shrine Club Rd Ste B, Lander, 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 2620 Commercial Way Ste 20, Rock Springs, WY 82901-4705 Ph: (307) 212-6270 | Ms Kathleen Ann Petro, FNP-BC 15 Shrine Club Rd Ste B, Lander, WY 82520-8502 Ph: (307) 212-6270 |
Amanda Barrett, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8204 Wyoming Highway 789, Lander, WY 82520 Phone: 307-335-6700 | |
Shirley E Schatza, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920 | |
Grace Morris, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 N 10th St, Lander, WY 82520 Phone: 410-259-9791 | |
Kristine Marie Cardinal, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 | |
Mrs. Melissa Marie Winn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8204 Highway 789, Lander, WY 82520 Phone: 970-424-9766 | |
Jacqueline A Meyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Wyoming St, Lander, WY 82520 Phone: 307-332-2185 Fax: 307-332-7799 | |
Aven Garms Glazer, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Wyoming St, Lander, WY 82520 Phone: 307-856-9281 |