Big Horn Pediatrics - Medicare Primary Care in Gillette, WY

Big Horn Pediatrics is a medicare enrolled primary clinic (Pediatrics) in Gillette, Wyoming. The current practice location for Big Horn Pediatrics is 1308 W 4th St, Gillette, Wyoming. For appointments, you can reach them via phone at (307) 687-1300. The mailing address for Big Horn Pediatrics is 1308 W 4th St, Gillette, Wyoming and phone number is (307) 687-1300.

Big Horn Pediatrics is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477660447. 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) 687-1300.

Contact Information

Big Horn Pediatrics
1308 W 4th St
Gillette
WY 82716-3330
(307) 687-1300
(307) 682-1309

Primary Care Clinic Profile

Full NameBig Horn Pediatrics
SpecialityPediatrics
Location1308 W 4th St, Gillette, Wyoming
Authorized Official Name and PositionAnn L Edwards (OFFICE MANAGER)
Authorized Official Contact3076871300
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Big Horn Pediatrics
1308 W 4th St
Gillette
WY 82716-3330

Ph: (307) 687-1300
Big Horn Pediatrics
1308 W 4th St
Gillette
WY 82716-3330

Ph: (307) 687-1300

NPI Details:

NPI Number1477660447
Provider Enumeration Date08/24/2006
Last Update Date07/27/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3971923137
Medicare Enrollment IDO20201009001141

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Medical Identifiers

Medical identifiers for Big Horn Pediatrics such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477660447NPI-NPPES
830306207OtherWYTAX I.D.#

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
208000000XPediatrics (* (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. Big Horn Pediatrics acts as a billing entity for following providers:
Provider NameAubrey D Tabb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316925456
PECOS PAC ID: 3779644331
Enrollment ID: I20081202000251

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Provider NameJennifer Alexis Rasmuson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780178897
PECOS PAC ID: 4880005891
Enrollment ID: I20201124000755

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