Kintsugi Psychiatry, Llc - Medicare Mental Health Clinic in Casper, WY

Kintsugi Psychiatry, Llc is a medicare enrolled mental health clinic (Nurse Practitioner - Psychiatric/mental Health) in Casper, Wyoming. The current practice location for Kintsugi Psychiatry, Llc is 145 S Durbin St Ste 108, Casper, Wyoming. For appointments, you can reach them via phone at (307) 333-5757. The mailing address for Kintsugi Psychiatry, Llc is Po Box 1117, Casper, Wyoming and phone number is (307) 333-5757.

Kintsugi Psychiatry, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306406509. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (307) 333-5757.

Contact Information

Kintsugi Psychiatry, Llc
145 S Durbin St Ste 108
Casper
WY 82601-2566
(307) 333-5757
(307) 439-2141

Mental Health Clinic Profile

Full NameKintsugi Psychiatry, Llc
SpecialityNurse Practitioner
Location145 S Durbin St Ste 108, Casper, Wyoming
Authorized Official Name and PositionKatie Madetzke (PRACTICE MANAGER)
Authorized Official Contact3073335757
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kintsugi Psychiatry, Llc
Po Box 1117
Casper
WY 82602-1117

Ph: (307) 333-5757
Kintsugi Psychiatry, Llc
145 S Durbin St Ste 108
Casper
WY 82601-2566

Ph: (307) 333-5757

NPI Details:

NPI Number1306406509
Provider Enumeration Date06/19/2019
Last Update Date06/17/2022
Certification Date03/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5991030736
Medicare Enrollment IDO20190716001355

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Medical Identifiers

Medical identifiers for Kintsugi Psychiatry, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306406509NPI-NPPES
1306406509MedicaidWY
1093117210MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kintsugi Psychiatry, Llc acts as a billing entity for following providers:
Provider NameTeecee Ann Hailey-fulfer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093117210
PECOS PAC ID: 0446524961
Enrollment ID: I20171101003339

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Provider NameCrystal Lynn Bardgett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508517368
PECOS PAC ID: 5496149437
Enrollment ID: I20220308001818

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Nurse Practitioner in Casper, WY

Brain Injury Association Of Wyoming
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Medicare: Not Enrolled in Medicare
Practice Location: 350 Big Horn Rd, Casper, WY 82601
Phone: 307-473-1767    
Remember Who You Are Counseling Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 141 S Center St Ste 304, Casper, WY 82601
Phone: 304-262-8572    
Aspen Creek Counseling Associates, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 800 Werner Ct, Suite 235, Casper, WY 82601
Phone: 307-233-4210    Fax: 307-233-4213
Abby Bowen-rodda Ph.d., Pc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 940 E 3rd St, Ste 107, Casper, WY 82601
Phone: 307-577-4247    Fax: 307-577-4249
Living Well Counseling Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 1301 S Wisconsin Ave., Casper, WY 82609
Phone: 307-472-5433    Fax: 307-337-3705
Self Help Center, Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 441 S Center St, Suite 300, Casper, WY 82601
Phone: 307-235-2814    
Emotional Wellness Counseling Llc
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Phone: 307-267-1681    

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