Lars T Conway, MD - Medicare Pathology in Jackson, WY

Lars T Conway, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Jackson, Wyoming. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Incyte Pathology Ps, Incyte Pathology Ps and his current practice location is 625 E Broadway Ave, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 733-6418.

Lars T Conway is licensed to practice in Wyoming (license number 9164A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679534432.

Contact Information

Lars T Conway, MD
625 E Broadway Ave,
Jackson, WY 83001-8642
(307) 733-6418
(307) 734-0885



Physician's Profile

Full NameLars T Conway
GenderMale
SpecialityPathology
Experience47 Years
Location625 E Broadway Ave, Jackson, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lars T Conway attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1977
  NPI Data:
  • NPI Number: 1679534432
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 11/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8224021415
  • Enrollment ID: I20220114001323

Medical Identifiers

Medical identifiers for Lars T Conway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679534432NPI-NPPES
220007425OtherMNRR MEDICARE
936780200MedicaidMN
03069C0OtherMNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0500XPathology - Cytopathology 27443 (Minnesota)Secondary
207ZP0101XPathology - Anatomic Pathology 27443 (Minnesota)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology M-12068 (Idaho)Secondary
207ZP0101XPathology - Anatomic Pathology 9164A (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Olympic Medical CenterPort angeles, WAHospital
Providence Mount Carmel HospitalColville, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Incyte Pathology Ps963806794542
Incyte Pathology Ps963806794542

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lars T Conway allows following entities to bill medicare on his behalf.
Entity NameIncyte Pathology Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326086745
PECOS PAC ID: 9638067945
Enrollment ID: O20040309000085

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lars T Conway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lars T Conway, MD
Po Box 4940, 625 E Broadway,
Jackson, WY 83001-4940

Ph: (307) 733-6418
Lars T Conway, MD
625 E Broadway Ave,
Jackson, WY 83001-8642

Ph: (307) 733-6418

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Pathology Doctors in Jackson, WY

Dr. Edward Callaghan, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 625 E Broadway Ave, Jackson, WY 83001
Phone: 307-733-6418    
Anna Francine Tryka, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 625 E Broadway, Jackson, WY 83001
Phone: 307-733-6418    Fax: 307-734-0885

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