| Stacy Jo Kennedy, FNP- BC | |
|
191 Overthrust Rd, Evanston, WY 82930-9261 | |
| (307) 789-8721 | |
| Not Available |
| Full Name | Stacy Jo Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 191 Overthrust Rd, Evanston, 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 |
|---|---|---|---|
| 1669947610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 30260.1816 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Sweetwater County | Rock springs, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterology Associates Pc | 8820902695 | 16 |
| Entity Name | Gastroenterology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811909807 PECOS PAC ID: 8820902695 Enrollment ID: O20031117000116 |
| Entity Name | Southwest Wyoming Ent Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730335423 PECOS PAC ID: 0244306678 Enrollment ID: O20080908000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Jo Kennedy, FNP- BC 249 Douglas Dr, Rock Springs, WY 82901-3148 Ph: (307) 371-1601 | Stacy Jo Kennedy, FNP- BC 191 Overthrust Rd, Evanston, WY 82930-9261 Ph: (307) 789-8721 |
Mr. James David Benson, AGNP-BC, PHD, HFA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 190 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-4224 Fax: 307-789-4225 | |
Kimberly Anne Begalla, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Yellow Creek Rd, Suite 202, Evanston, WY 82930 Phone: 307-789-6111 Fax: 307-789-7111 | |
Bailey Jensen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 Overthrust Rd, Evanston, WY 82930 Phone: 307-789-8721 Fax: 307-789-8664 | |
Mikale Natasha Nowak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 | |
Ms. Mary Elizabeth Coffeen-carley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 831 St. Highway, 150 South, Wyoming State Hospital, Evanston, WY 82931 Phone: 307-789-3464 Fax: 307-789-7213 | |
Felicia Renee Galvin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Yellow Creek Rd, Evanston, WY 82930 Phone: 307-789-2899 |