Family Clinic - Medicare Primary Care in Casper, WY

Family Clinic is a medicare enrolled primary clinic (Family Medicine) in Casper, Wyoming. The current practice location for Family Clinic is 1315 E A St, Casper, Wyoming. For appointments, you can reach them via phone at (307) 235-8552. The mailing address for Family Clinic is 1315 E A St, Casper, Wyoming and phone number is (307) 235-8552.

Family Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1871629832. 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) 235-8552.

Contact Information

Family Clinic
1315 E A St
Casper
WY 82601-2212
(307) 235-8552
(307) 235-4656

Primary Care Clinic Profile

Full NameFamily Clinic
SpecialityFamily Medicine
Location1315 E A St, Casper, Wyoming
Authorized Official Name and PositionDana R Ideen (MANAGING MEMBER)
Authorized Official Contact3072358552
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Family Clinic
1315 E A St
Casper
WY 82601-2212

Ph: (307) 235-8552
Family Clinic
1315 E A St
Casper
WY 82601-2212

Ph: (307) 235-8552

NPI Details:

NPI Number1871629832
Provider Enumeration Date02/26/2007
Last Update Date11/11/2010

Medicare PECOS Information:

Medicare PECOS PAC ID3678563335
Medicare Enrollment IDO20040514000405

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Medical Identifiers

Medical identifiers for Family Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871629832NPI-NPPES
102746800MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Family Clinic acts as a billing entity for following providers:
Provider NameDana Ray Ideen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558375477
PECOS PAC ID: 7719172956
Enrollment ID: I20101112000637

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