Evanston Clinic Corp - Medicare Primary Care in Evanston, WY

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Evanston Clinic Corp is a medicare enrolled primary clinic (Family Medicine) in Evanston, Wyoming. The current practice location for Evanston Clinic Corp is 196 Arrowhead Dr Ste 8, Evanston, Wyoming. For appointments, you can reach them via phone at (307) 783-8365. The mailing address for Evanston Clinic Corp is Po Box 5009, Brentwood, Tennessee and phone number is (615) 221-1400.

Evanston Clinic Corp is licensed to practice in Wyoming (license number ). The clinic also participates in the medicare program and its NPI number is 1013916519. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (307) 783-8365.

Contact Information

Evanston Clinic Corp
196 Arrowhead Dr Ste 8
Evanston
WY 82930-8752
(307) 783-8365
(307) 783-8284

Map and Direction


Primary Care Clinic Profile

Full NameEvanston Clinic Corp
SpecialityFamily Medicine
Location196 Arrowhead Dr Ste 8, Evanston, Wyoming
Authorized Official Name and PositionLaura J Fey (DIRECTOR REVENUE CYCLE)
Authorized Official Contact6152213641
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evanston Clinic Corp
Po Box 5009
Brentwood
TN 37024-5009

Ph: (615) 221-1400		Evanston Clinic Corp
196 Arrowhead Dr Ste 8
Evanston
WY 82930-8752

Ph: (307) 783-8365

NPI Details:

NPI Number1013916519
Provider Enumeration Date07/18/2005
Last Update Date03/04/2019

Medicare PECOS Information:

Medicare PECOS PAC ID8325038094
Medicare Enrollment IDO20040514000481

Medical Identifiers

Medical identifiers for Evanston Clinic Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013916519NPI-NPPES
06159001OtherWYBCBS
1013916519MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Wyoming)Primary
207R00000XInternal Medicine (Wyoming)Secondary
207V00000XObstetrics & Gynecology (Wyoming)Secondary
208600000XSurgery (Wyoming)Secondary
208800000XUrology (Wyoming)Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Evanston Clinic Corp acts as a billing entity for following providers:
Provider NameEric C Hansen
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1366500449
PECOS PAC ID: 2264420876
Enrollment ID: I20040503001544
Provider NameGordon Scott Olsen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1235237744
PECOS PAC ID: 0547220915
Enrollment ID: I20041014000038
Provider NameWilliam Douglas Hiller
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1659429876
PECOS PAC ID: 2062303100
Enrollment ID: I20090326000258
Provider NameWilliam Marcus Brann
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1912087826
PECOS PAC ID: 9931090776
Enrollment ID: I20090721000143
Provider NameJared B Barton
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1144328949
PECOS PAC ID: 5991870867
Enrollment ID: I20090930000718
Provider NameMelissa Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205928108
PECOS PAC ID: 8527109503
Enrollment ID: I20100113000390
Provider NameVikas Garg
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1104852599
PECOS PAC ID: 5597729756
Enrollment ID: I20100715000275
Provider NameGary R Noe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417952391
PECOS PAC ID: 2163548132
Enrollment ID: I20100927001521
Provider NameRichard J Capener
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225327000
PECOS PAC ID: 8325219272
Enrollment ID: I20110926000356
Provider NameGregory M Yasuda
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1841391349
PECOS PAC ID: 0941467518
Enrollment ID: I20120209000223
Provider NameSteven W Babcock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356572101
PECOS PAC ID: 8628225216
Enrollment ID: I20120905000146
Provider NameSunflower Dawn Kaste
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376891226
PECOS PAC ID: 2860642097
Enrollment ID: I20121025000124
Provider NameCarol C Kavanaugh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689649444
PECOS PAC ID: 1052355088
Enrollment ID: I20121119000441
Provider NameMicah D Pullins
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1730482167
PECOS PAC ID: 7214179159
Enrollment ID: I20130806000492
Provider NameDouglas Wesley White
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1538140322
PECOS PAC ID: 7012055973
Enrollment ID: I20140214001636
Provider NameLauri S Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568804664
PECOS PAC ID: 9234355207
Enrollment ID: I20140728002103
Provider NameKathy Bella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902299787
PECOS PAC ID: 0648597534
Enrollment ID: I20150403000440
Provider NameChrista Lena Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780083782
PECOS PAC ID: 6103142971
Enrollment ID: I20150708001034
Provider NameIan Kendrick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902126824
PECOS PAC ID: 7810204849
Enrollment ID: I20150923001414
Provider NameAmanda Bird Hoffert Gilmartin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1033434980
PECOS PAC ID: 9931402252
Enrollment ID: I20160120002299
Provider NameGary Blake Johnson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1144223827
PECOS PAC ID: 4789625690
Enrollment ID: I20160705002174
Provider NameAlan R Brown
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609119734
PECOS PAC ID: 1456584069
Enrollment ID: I20160908002097
Provider NameAndrew Freedman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598766743
PECOS PAC ID: 7911990460
Enrollment ID: I20161123001534
Provider NameClyde D Sullivan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295939262
PECOS PAC ID: 5193876464
Enrollment ID: I20170110000275
Provider NameJustin Parkinson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1851314066
PECOS PAC ID: 9931004231
Enrollment ID: I20170418001189
Provider NameRichard L England
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629483185
PECOS PAC ID: 2961627732
Enrollment ID: I20180724002097
Provider NameDarryl Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982986279
PECOS PAC ID: 3870750813
Enrollment ID: I20190925002766
Provider NameLucy Haberthier-ryan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1265449060
PECOS PAC ID: 2365606662
Enrollment ID: I20191211000914
Provider NameChad Brady
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1891705794
PECOS PAC ID: 7618954280
Enrollment ID: I20191216002694
Provider NameSara Hunt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245680149
PECOS PAC ID: 7810323946
Enrollment ID: I20200207001196
Provider NameShawn Allman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003261108
PECOS PAC ID: 2264764380
Enrollment ID: I20201020003814
Provider NameByrke O Beller
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1669561072
PECOS PAC ID: 2668540212
Enrollment ID: I20210610002713
Provider NameJeffrey Bray
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1881670347
PECOS PAC ID: 2163556457
Enrollment ID: I20220207000380
Provider NameCesar Javier Hernandez
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1356436539
PECOS PAC ID: 8628084571
Enrollment ID: I20220308002236
Provider NameReuel Jake Measom
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1184156630
PECOS PAC ID: 2567721764
Enrollment ID: I20220728001348
Provider NamePatrick Joseph Cindrich
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1821101395
PECOS PAC ID: 7214934629
Enrollment ID: I20220819000663
Provider NameCatherine Rogers
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1447236625
PECOS PAC ID: 4688708951
Enrollment ID: I20230113000557
Provider NameLinda Benson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902640709
PECOS PAC ID: 3870025224
Enrollment ID: I20241010002092
Provider NameRaymond Hans Benson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265249429
PECOS PAC ID: 9931637741
Enrollment ID: I20250107003354

Reviews and Comments


Family Medicine in Evanston, WY

Mountain Medicine Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 170 Arrowhead Dr, Evanston, WY 82930
Phone: 307-267-2116    
High Country Behavioral Health
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 190 Overthrust Rd., Evanston, WY 82931
Phone: 307-789-4224    Fax: 307-789-4225
Michael D. Adams, M.d., P.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930
Phone: 307-789-8290    Fax: 307-789-8290
Bear Lake Community Health Center, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930
Phone: 307-789-8290    Fax: 307-789-8975
South Lincoln Hospital District
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 195 Feather Way Ste 100, Evanston, WY 82930
Phone: 307-200-9200    Fax: 307-200-4808
High Country Behavioral Health
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 830 Highway 150 S, Evanston, WY 82930
Phone: 307-789-4224    Fax: 307-789-4225

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.