Lupine Mental Health And Integrative Psychiatry Llc - Medicare Mental Health Clinic in Jackson, WY

Lupine Mental Health And Integrative Psychiatry Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Jackson, Wyoming. The current practice location for Lupine Mental Health And Integrative Psychiatry Llc is 125 E Pearl Ave Ste 207, Jackson, Wyoming. For appointments, you can reach them via phone at (307) 203-2656. The mailing address for Lupine Mental Health And Integrative Psychiatry Llc is Po Box 1132, Jackson, Wyoming and phone number is () -.

Lupine Mental Health And Integrative Psychiatry Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1871103127. 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) 203-2656.

Contact Information

Lupine Mental Health And Integrative Psychiatry Llc
125 E Pearl Ave Ste 207
Jackson
WY 83001-8599
(307) 203-2656
Not Available

Mental Health Clinic Profile

Full NameLupine Mental Health And Integrative Psychiatry Llc
SpecialityClinic/Center
Location125 E Pearl Ave Ste 207, Jackson, Wyoming
Authorized Official Name and PositionSusan G Wolff (PSYCHIATRIC NURSE PRACTITIONER)
Authorized Official Contact3072032656
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lupine Mental Health And Integrative Psychiatry Llc
Po Box 1132
Jackson
WY 83001-1132

Ph: () -
Lupine Mental Health And Integrative Psychiatry Llc
125 E Pearl Ave Ste 207
Jackson
WY 83001-8599

Ph: (307) 203-2656

NPI Details:

NPI Number1871103127
Provider Enumeration Date08/02/2020
Last Update Date08/02/2020
Certification Date08/02/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8426468737
Medicare Enrollment IDO20201027002432

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Medical Identifiers

Medical identifiers for Lupine Mental Health And Integrative Psychiatry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871103127NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (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. Lupine Mental Health And Integrative Psychiatry Llc acts as a billing entity for following providers:
Provider NameSusan Gail Wolff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558912477
PECOS PAC ID: 8729068606
Enrollment ID: I20191108002710

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