Goose Creek Family Practice, P.c. in Sheridan, WY

Goose Creek Family Practice, P.c. is a medicare enrolled primary clinic (Clinic/center) in Sheridan, Wyoming. The current practice location for Goose Creek Family Practice, P.c. is 304 Coffeen Ave, Suite A, Sheridan, Wyoming. For appointments, you can reach them via phone at (307) 674-1744. The mailing address for Goose Creek Family Practice, P.c. is 304 Coffeen Ave, Suite A, Sheridan, Wyoming and phone number is (307) 674-1744.

Goose Creek Family Practice, P.c. is licensed to practice in Wyoming (license number 11988.1019). The clinic also participates in the medicare program and its NPI number is 1134407356. 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) 674-1744.

Contact Information

	Goose Creek Family Practice, P.c.
	304 Coffeen Ave Suite A Sheridan WY 82801-4803
	(307) 674-1744
	(307) 674-1752

Map and Direction

Primary Care Clinic Profile

Full Name	Goose Creek Family Practice, P.c.
Speciality	Clinic/Center
Location	304 Coffeen Ave, Sheridan, Wyoming
Authorized Official Name and Position	Debra Ann Kawulok (PRESIDENT)
Authorized Official Contact	3076741744
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Goose Creek Family Practice, P.c. 304 Coffeen Ave Suite A Sheridan WY 82801-4803 Ph: (307) 674-1744	Goose Creek Family Practice, P.c. 304 Coffeen Ave Suite A Sheridan WY 82801-4803 Ph: (307) 674-1744

NPI Details:

NPI Number	1134407356
Provider Enumeration Date	07/22/2011
Last Update Date	11/09/2012

Medicare PECOS Information:

Medicare PECOS PAC ID	8921277419
Medicare Enrollment ID	O20110818000447

Medical Identifiers

Medical identifiers for Goose Creek Family Practice, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134407356	NPI	-	NPPES
1013242502	Other		NPI #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	11988.1019 (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. Goose Creek Family Practice, P.c. acts as a billing entity for following providers:

Provider Name	Debra A Kawulok
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1013242502 PECOS PAC ID: 7416096607 Enrollment ID: I20091201000425

Reviews and Comments

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Goose Creek Family Practice, P.c. - Medicare Primary Care in Sheridan, WY