Mary Donovan Moreno, MD - Medicare Psychiatry in Laramie, WY

Mary Donovan Moreno, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Laramie, Wyoming. She went to University Of Arkansas College Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Ivinson Memorial Hospital and her current practice location is 1465 N 4th St, Suite 119, Laramie, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 721-0700.

Mary Donovan Moreno is licensed to practice in Wyoming (license number 6594A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548359946.

Contact Information

Mary Donovan Moreno, MD
1465 N 4th St, Suite 119,
Laramie, WY 82072-2066
(307) 721-0700
(307) 721-1039



Physician's Profile

Full NameMary Donovan Moreno
GenderFemale
SpecialityPsychiatry
Experience33 Years
Location1465 N 4th St, Laramie, Wyoming
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Donovan Moreno attended and graduated from University Of Arkansas College Of Medicine in 1991
  NPI Data:
  • NPI Number: 1548359946
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6901807668
  • Enrollment ID: I20070123000342

Medical Identifiers

Medical identifiers for Mary Donovan Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548359946NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 6594A (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ivinson Memorial HospitalLaramie, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ivinson Memorial Hospital832530444749

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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. Mary Donovan Moreno allows following entities to bill medicare on her behalf.
Entity NameArk Regional Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023344942
PECOS PAC ID: 4486794518
Enrollment ID: O20091221000326

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Entity NameIvinson Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033628599
PECOS PAC ID: 8325304447
Enrollment ID: O20171213002021

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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. Mary Donovan Moreno 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
Mary Donovan Moreno, MD
712 S 24th St,
Laramie, WY 82070-4919

Ph: (307) 755-9737
Mary Donovan Moreno, MD
1465 N 4th St, Suite 119,
Laramie, WY 82072-2066

Ph: (307) 721-0700

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Psychiatry & Neurology Doctors in Laramie, WY

Dr. Joseph Gerard Schaaf, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 255 N 30th St, Laramie, WY 82072
Phone: 307-742-2142    Fax: 307-755-4307
Dr. Angela Imperial Howdeshell, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1263 N 15th St, Peak Wellness Center- Albany Branch, Laramie, WY 82072
Phone: 307-745-8915    Fax: 307-745-8761
Christopher B Reyburn, M.D
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1277 N 15th St, Laramie, WY 82072
Phone: 307-742-6222    Fax: 307-742-6414

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