| Healthywise Medical LLC | |
|
1401 Airport Pkwy Ste 100 Cheyenne WY 82001-1522 | |
| (900) 000-0009 | |
| Not Available |
| Full Name | Healthywise Medical LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 Airport Pkwy Ste 100, Cheyenne, Wyoming |
| Authorized Official Name and Position | Nancy Ann Bregquist (OWNER) |
| Authorized Official Contact | 3078007006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthywise Medical LLC 1740 Dell Range Blvd # H291 Cheyenne WY 82009-4961 Ph: (307) 800-7006 | Healthywise Medical LLC 1401 Airport Pkwy Ste 100 Cheyenne WY 82001-1522 Ph: (900) 000-0009 |
| NPI Number | 1730977240 |
|---|---|
| Provider Enumeration Date | 04/26/2025 |
| Last Update Date | 09/10/2025 |
| Certification Date | 09/10/2025 |
| Medicare PECOS PAC ID | 3274041108 |
|---|---|
| Medicare Enrollment ID | O20250801003764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730977240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Nancy a Bergquist |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336290683 PECOS PAC ID: 7214172436 Enrollment ID: I20220627002105 |
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Crossroads Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 Westland Rd, Cheyenne, WY 82001 Phone: 307-635-9291 Fax: 307-632-6131 |
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