| Rocky Mountain Family Medicine Llc | |
|
5840 E 2nd St. Suite 200 Casper WY 82601 | |
| (307) 315-6133 | |
| (307) 315-6134 |
| Full Name | Rocky Mountain Family Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5840 E 2nd St. Suite 200, Casper, Wyoming |
| Authorized Official Name and Position | Eric J Lawrence (OWNER) |
| Authorized Official Contact | 3073156133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Family Medicine Llc 5840 E 2nd St Ste 200 Casper WY 82609-4363 Ph: (307) 315-6133 | Rocky Mountain Family Medicine Llc 5840 E 2nd St. Suite 200 Casper WY 82601 Ph: (307) 315-6133 |
| NPI Number | 1164650719 |
|---|---|
| Provider Enumeration Date | 06/22/2009 |
| Last Update Date | 07/27/2018 |
| Medicare PECOS PAC ID | 6800941022 |
|---|---|
| Medicare Enrollment ID | O20090911000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164650719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Wyoming) | Primary |
| Provider Name | Eric J Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326223751 PECOS PAC ID: 0345395562 Enrollment ID: I20090911000063 |
| Provider Name | Jane Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104126358 PECOS PAC ID: 7517155229 Enrollment ID: I20101222000500 |
| Provider Name | Emily M Westover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104336288 PECOS PAC ID: 4880954890 Enrollment ID: I20180213002070 |
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