| Tri County Medical Center | |
|
820 E 17th St Cheyenne WY 82001-4714 | |
| (307) 632-2434 | |
| (307) 638-3616 |
| Full Name | Tri County Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 820 E 17th St, Cheyenne, Wyoming |
| Authorized Official Name and Position | Marianne Ploucha (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3076322434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Medical Center 820 E 17th St Cheyenne WY 82001-4714 Ph: (307) 632-2434 | Tri County Medical Center 820 E 17th St Cheyenne WY 82001-4714 Ph: (307) 632-2434 |
| NPI Number | 1770681439 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4183607054 |
|---|---|
| Medicare Enrollment ID | O20040610001637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770681439 | NPI | - | NPPES |
| 107358301 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Wyoming) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Brian M Veauthier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851352918 PECOS PAC ID: 9436063914 Enrollment ID: I20031118000840 |
| Provider Name | Michael A Jording |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982681383 PECOS PAC ID: 7416943881 Enrollment ID: I20040421001457 |
| Provider Name | Sharon R Karnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962440487 PECOS PAC ID: 7214908748 Enrollment ID: I20040805001269 |
| Provider Name | J'laine Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558373340 PECOS PAC ID: 9739132986 Enrollment ID: I20050228000563 |
| Provider Name | John P Healey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598773368 PECOS PAC ID: 1153369640 Enrollment ID: I20050425000813 |
| Provider Name | Helen Drake Iams |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902987258 PECOS PAC ID: 5597704999 Enrollment ID: I20050426000557 |
| Provider Name | Jay A Swedberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467450163 PECOS PAC ID: 6406878842 Enrollment ID: I20051228000570 |
| Provider Name | Jason C Weyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417902354 PECOS PAC ID: 3971506668 Enrollment ID: I20060818000316 |
| Provider Name | Julian D Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023099637 PECOS PAC ID: 0042108979 Enrollment ID: I20070227000500 |
| Provider Name | Kristina L Stefka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740339159 PECOS PAC ID: 7012903453 Enrollment ID: I20070516000475 |
| Provider Name | Teresa J Garcia |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134266356 PECOS PAC ID: 1254425929 Enrollment ID: I20070926000284 |
| Provider Name | William Burland Maurer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003976267 PECOS PAC ID: 0042306524 Enrollment ID: I20071015000018 |
| Provider Name | Beth C Robitaille |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396788865 PECOS PAC ID: 6103914585 Enrollment ID: I20071119000344 |
| Provider Name | Gary Schmitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457459984 PECOS PAC ID: 0648357285 Enrollment ID: I20080408000184 |
| Provider Name | Nancy I Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114104049 PECOS PAC ID: 0941388045 Enrollment ID: I20080415000235 |
| Provider Name | Carol A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366439598 PECOS PAC ID: 0749369213 Enrollment ID: I20080508000572 |
| Provider Name | Nancy J Halsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487615837 PECOS PAC ID: 7810042199 Enrollment ID: I20090910000350 |
| Provider Name | Eric J Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326223751 PECOS PAC ID: 0345395562 Enrollment ID: I20090911000063 |
| Provider Name | Michael V Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548201213 PECOS PAC ID: 7214079805 Enrollment ID: I20100120000377 |
| Provider Name | Thomas E Radosevich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114969698 PECOS PAC ID: 1557404746 Enrollment ID: I20100210000680 |
| Provider Name | Douglas R Phipps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508952276 PECOS PAC ID: 9638136351 Enrollment ID: I20100217000751 |
| Provider Name | Cynthia A Works |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497790364 PECOS PAC ID: 8729114400 Enrollment ID: I20100405000539 |
| Provider Name | Zachory F Deiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033286422 PECOS PAC ID: 9133257710 Enrollment ID: I20100503000806 |
| Provider Name | Lisa K Brandes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720186471 PECOS PAC ID: 8527049584 Enrollment ID: I20100608000477 |
| Provider Name | Caroline F Kirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194957092 PECOS PAC ID: 3476677683 Enrollment ID: I20100825000120 |
| Provider Name | Anna R Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306037726 PECOS PAC ID: 7416072509 Enrollment ID: I20100913000960 |
| Provider Name | Wade Travis Bomengen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710959168 PECOS PAC ID: 9234113176 Enrollment ID: I20101012000734 |
| Provider Name | Douglas S Parks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619058963 PECOS PAC ID: 2466584628 Enrollment ID: I20101020001600 |
| Provider Name | Ronald L Malm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457459125 PECOS PAC ID: 6002948262 Enrollment ID: I20101020001602 |
| Provider Name | Jerry L Mclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912980327 PECOS PAC ID: 9537291208 Enrollment ID: I20101027000443 |
| Provider Name | Jonathon D Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942219803 PECOS PAC ID: 0941235675 Enrollment ID: I20110929000071 |
| Provider Name | Amber N Kinner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346400777 PECOS PAC ID: 9133391121 Enrollment ID: I20111018000094 |
| Provider Name | Robert G Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235120437 PECOS PAC ID: 0840231148 Enrollment ID: I20111116000263 |
| Provider Name | Karen L Zoller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730357377 PECOS PAC ID: 8022195361 Enrollment ID: I20120709000326 |
| Provider Name | Frank Delreal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043422900 PECOS PAC ID: 4789837832 Enrollment ID: I20130123000535 |
| Provider Name | Cara L Johnson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508095332 PECOS PAC ID: 8921245168 Enrollment ID: I20130805000827 |
| Provider Name | Mesha L Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235491341 PECOS PAC ID: 2961636139 Enrollment ID: I20131002000379 |
| Provider Name | Robert P Onders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104917517 PECOS PAC ID: 6406842889 Enrollment ID: I20141023001679 |
| Provider Name | Karen Ellis Valades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861810897 PECOS PAC ID: 0547587040 Enrollment ID: I20150321000084 |
| Provider Name | Kate Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558755850 PECOS PAC ID: 6800107293 Enrollment ID: I20150626000451 |
| Provider Name | Jeremy Gates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629136767 PECOS PAC ID: 2769701168 Enrollment ID: I20150708000589 |
| Provider Name | Evan D Norby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922361625 PECOS PAC ID: 1759525009 Enrollment ID: I20150811006149 |
| Provider Name | Afzal Hussian Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669768305 PECOS PAC ID: 4587808175 Enrollment ID: I20150903000917 |
| Provider Name | Mark T Babcock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912346321 PECOS PAC ID: 3678790441 Enrollment ID: I20160809000720 |
| Provider Name | Dustin Durham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694397 PECOS PAC ID: 7810119294 Enrollment ID: I20170607001071 |
| Provider Name | Jennifer C Oiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457685521 PECOS PAC ID: 6709924129 Enrollment ID: I20170815001046 |
| Provider Name | Jessica Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114368131 PECOS PAC ID: 9830333731 Enrollment ID: I20171010002204 |
| Provider Name | Corri A Sandoval |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033656590 PECOS PAC ID: 9537434881 Enrollment ID: I20171012001058 |
| Provider Name | Katherine Canada Trumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194155804 PECOS PAC ID: 4688897853 Enrollment ID: I20180109002712 |
| Provider Name | Tabitha L Thrasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619230711 PECOS PAC ID: 7315161619 Enrollment ID: I20180411002489 |
| Provider Name | Adam Hoopes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407237233 PECOS PAC ID: 4082918602 Enrollment ID: I20180523002797 |
| Provider Name | Brian Tyler Melville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982085718 PECOS PAC ID: 6204145733 Enrollment ID: I20180607001174 |
| Provider Name | Katherine L Swope |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811460397 PECOS PAC ID: 9830437003 Enrollment ID: I20190213001529 |
| Provider Name | Shelley E Barton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033674056 PECOS PAC ID: 7113266909 Enrollment ID: I20190221001781 |
| Provider Name | Sky J Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174765093 PECOS PAC ID: 5193017101 Enrollment ID: I20191206000630 |
| Provider Name | Susan Kay Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104461599 PECOS PAC ID: 9638507403 Enrollment ID: I20200324001699 |
| Provider Name | Sherra Stclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639729056 PECOS PAC ID: 8729416599 Enrollment ID: I20200324001915 |
| Provider Name | Constance B Grau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346503448 PECOS PAC ID: 5395969505 Enrollment ID: I20200410000861 |
| Provider Name | Lisa Western |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558712414 PECOS PAC ID: 2062700396 Enrollment ID: I20200805001262 |
| Provider Name | Jesse A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972023885 PECOS PAC ID: 3072863935 Enrollment ID: I20200911002686 |
| Provider Name | Rita Barry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588097299 PECOS PAC ID: 9931472982 Enrollment ID: I20200921001340 |
| Provider Name | Heidi S Clark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649520560 PECOS PAC ID: 2567873466 Enrollment ID: I20201125001485 |
| Provider Name | Karlee Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467900746 PECOS PAC ID: 2264843168 Enrollment ID: I20201125001580 |
| Provider Name | Jody Ann Cousins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467578799 PECOS PAC ID: 1254456700 Enrollment ID: I20210414002548 |
| Provider Name | James R Eggert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942869177 PECOS PAC ID: 0143647636 Enrollment ID: I20210701000635 |
| Provider Name | Bernard Roscoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316301617 PECOS PAC ID: 3678803467 Enrollment ID: I20210701003133 |
| Provider Name | Rachel K Ritter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417467663 PECOS PAC ID: 2860758901 Enrollment ID: I20210930001671 |
| Provider Name | Samanthajo Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740895549 PECOS PAC ID: 3072904515 Enrollment ID: I20211217000382 |
| Provider Name | Renae Marie Hepfner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104310606 PECOS PAC ID: 6305264169 Enrollment ID: I20220909002079 |
| Provider Name | Hannah Young |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376274845 PECOS PAC ID: 0143606426 Enrollment ID: I20221011000755 |
| Provider Name | Megan L Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568070225 PECOS PAC ID: 5193193308 Enrollment ID: I20221118002616 |
| Provider Name | Sarah S Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588049795 PECOS PAC ID: 5799141115 Enrollment ID: I20230509003055 |
| Provider Name | Colton Allen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124696612 PECOS PAC ID: 4385000603 Enrollment ID: I20230801004368 |
| Provider Name | Drew Mahoney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740807551 PECOS PAC ID: 0941606271 Enrollment ID: I20230807001006 |
| Provider Name | Kristin Heidi Graf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649711854 PECOS PAC ID: 8022389741 Enrollment ID: I20230809003270 |
| Provider Name | Adam Scott Heessel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720648249 PECOS PAC ID: 8022433051 Enrollment ID: I20230815004426 |
| Provider Name | Brandon Tyler Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043943996 PECOS PAC ID: 6204282411 Enrollment ID: I20231024003725 |
| Provider Name | Matthew Robert Strang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942793195 PECOS PAC ID: 2062846140 Enrollment ID: I20231212003884 |
| Provider Name | Katie Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336483437 PECOS PAC ID: 9436500055 Enrollment ID: I20240124001809 |
| Provider Name | Laura Capasso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952723066 PECOS PAC ID: 8628413564 Enrollment ID: I20240229004046 |
Healthreach Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Bluegrass Cir, Cheyenne, WY 82009 Phone: 307-635-3500 Fax: 307-635-2199 | |
University Of Wyoming Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 E 17th St, Cheyenne, WY 82001 Phone: 307-777-7911 Fax: 307-777-7911 | |
North Cheyenne Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6015 Sycamore Rd, 1st Floor, Cheyenne, WY 82009 Phone: 307-514-1300 | |
Crossroads Healthcare Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Central Ave, Ste 100, Cheyenne, WY 82007 Phone: 307-632-8064 Fax: 307-632-6131 | |
Clinical Decision Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Capitol Ave, Suite 201, Cheyenne, WY 82001 Phone: 307-286-1833 | |
Physician Management Services Of Wyoming, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Prairie Ave Ste 2, Cheyenne, WY 82009 Phone: 888-829-8550 | |
Pauljordanwashburnmd, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5720 Osage Ave, 3-301, Cheyenne, WY 82009 Phone: 970-518-9394 |