| Wyoming Medical Associates, Llc | |
|
51 Town Center Dr Ste 120 Gillette WY 82718-5521 | |
| (307) 682-9962 | |
| (307) 257-2930 |
| Full Name | Wyoming Medical Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 51 Town Center Dr Ste 120, Gillette, Wyoming |
| Authorized Official Name and Position | Jacob H Rinker (OWNR) |
| Authorized Official Contact | 3076829962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Medical Associates, Llc Po Box 1805 Gillette WY 82717-1805 Ph: (307) 682-9962 | Wyoming Medical Associates, Llc 51 Town Center Dr Ste 120 Gillette WY 82718-5521 Ph: (307) 682-9962 |
| NPI Number | 1114531118 |
|---|---|
| Provider Enumeration Date | 09/07/2020 |
| Last Update Date | 08/07/2023 |
| Medicare PECOS PAC ID | 2769802552 |
|---|---|
| Medicare Enrollment ID | O20201029002875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114531118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jacob H Rinker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386939569 PECOS PAC ID: 2769620111 Enrollment ID: I20161229000000 |
| Provider Name | Jenae Elizabeth Schoenike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730796087 PECOS PAC ID: 8527470988 Enrollment ID: I20201209002423 |
| Provider Name | Lyndsay M. Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730782657 PECOS PAC ID: 9335554336 Enrollment ID: I20210225002145 |
| Provider Name | Trisha Lynn Mendenhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588266381 PECOS PAC ID: 4082020979 Enrollment ID: I20210301000613 |
| Provider Name | Bennett Wayne Pafford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255568366 PECOS PAC ID: 0749455731 Enrollment ID: I20230216000270 |
| Provider Name | Christopher Joseph Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699474833 PECOS PAC ID: 1456717438 Enrollment ID: I20230517001143 |
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