Dr Clancy Clyde Brown, DPT, CSCS in Thayne, WY - Medicare Physical Therapist Provider

Dr Clancy Clyde Brown, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Thayne, Wyoming. His current practice location is 124 Petersen Pkwy Ste 1, Thayne, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 883-7878.

Dr Clancy Clyde Brown is licensed to practice in Wyoming (license number 1366) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710271630.

Contact Information

	Dr Clancy Clyde Brown, DPT, CSCS
	124 Petersen Pkwy Ste 1, Thayne, WY 83127-9754
	(307) 883-7878
	(307) 883-7877

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Clancy Clyde Brown
Gender	Male
Speciality	Physical Therapist
Location	124 Petersen Pkwy Ste 1, Thayne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710271630
Provider Enumeration Date: 06/08/2011
Last Update Date: 12/12/2012

Medicare PECOS Information:

PECOS PAC ID: 8123297199
Enrollment ID: I20231211001156

Medical Identifiers

Medical identifiers for Dr Clancy Clyde Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710271630	NPI	-	NPPES
121989800	Medicaid	WY
103956300	Medicaid	WY
117016300	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1366 (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. Dr Clancy Clyde Brown allows following entities to bill medicare on his behalf.

Provider Name	Florida Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126

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. Dr Clancy Clyde Brown 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
Dr Clancy Clyde Brown, DPT, CSCS 124 Petersen Pkwy Ste 1, Thayne, WY 83127-9754 Ph: (307) 883-7878	Dr Clancy Clyde Brown, DPT, CSCS 124 Petersen Pkwy Ste 1, Thayne, WY 83127-9754 Ph: (307) 883-7878

Reviews and Comments

Physical Therapist in Thayne, WY

Dr. Hayden Glen Datwyler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 124 Petersen Pkwy, Thayne, WY 83127 Phone: 307-883-7878
Jimmy Douglas Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway, #1, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877
Dr. Kevin Baldwin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Pkwy, Thayne, WY 83127 Phone: 307-883-7878 Fax: 307-883-7877
Kenneth Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 487a North Main St, Thayne, WY 83127 Phone: 307-883-8877 Fax: 307-883-8876
Daniel Dean Jeske, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Petersen Parkway #1, Thayne, WY 83127 Phone: 307-883-7878
David Stoker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 487a N Main St, Thayne, WY 83127 Phone: 307-883-8877 Fax: 307-883-8876

Dr Clancy Clyde Brown, DPT, CSCS - Medicare Physical Therapist in Thayne, WY