Sally Rafert, FNP-C in Laramie, WY - Medicare Nurse Practitioner

Sally Rafert, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Laramie, Wyoming. Her current practice location is 204 Mccollum St Ste 104, Laramie, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 745-0085.

Sally Rafert is licensed to practice in Wyoming (license number 55013) 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 1053098749.

Contact Information

	Sally Rafert, FNP-C
	204 Mccollum St Ste 104, Laramie, WY 82070-5151
	(307) 745-0085
	Not Available

Map and Direction

Provider's Profile

Full Name	Sally Rafert
Gender	Female
Speciality	Nurse Practitioner - Family
Location	204 Mccollum St Ste 104, Laramie, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053098749
Provider Enumeration Date: 07/03/2023
Last Update Date: 04/11/2026

Medicare PECOS Information:

PECOS PAC ID: 5698126423
Enrollment ID: I20240523001108

Medical Identifiers

Medical identifiers for Sally Rafert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053098749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	55013 (Wyoming)	Primary

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. Sally Rafert allows following entities to bill medicare on her behalf.

Entity Name	Grant County Public Hospital District No 5
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720797 PECOS PAC ID: 3274525837 Enrollment ID: O20040401001562

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. Sally Rafert 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
Sally Rafert, FNP-C 5807 Bastion Rd, Laramie, WY 82070-8236 Ph: (307) 745-0085	Sally Rafert, FNP-C 204 Mccollum St Ste 104, Laramie, WY 82070-5151 Ph: (307) 745-0085

Reviews and Comments

Nurse Practitioner Nurses in Laramie, WY

Mrs. Beth Janine Romsa, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1277 N 15th St, Laramie, WY 82072 Phone: 307-742-2266 Fax: 307-742-9905
Ms. Patricia L Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1252 N 22nd St Unit A, Laramie, WY 82072 Phone: 307-745-5364 Fax: 307-745-4164
Ms. Peggy Joyce Harris, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2523 E Garfield St, Suite B, Laramie, WY 82070 Phone: 307-460-9888 Fax: 307-460-9892
Susan Kay Brown, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 E Grand Ave Ste 204, Laramie, WY 82070 Phone: 307-316-4410
Ann Marie Hart, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 S 11th St, Laramie, WY 82070 Phone: 307-460-8570
Dr. Nancy Irene Mcgee, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2710 Harney St Ste 202, Laramie, WY 82072 Phone: 307-766-3313 Fax: 307-766-3316

Sally Rafert, FNP-C - Medicare Nurse Practitioner in Laramie, WY