Holistic Pain Management Of Wyoming, Llc - Medicare Primary Care in Riverton, WY

Holistic Pain Management Of Wyoming, Llc is a medicare enrolled primary clinic (Nurse Practitioner - Family) in Riverton, Wyoming. The current practice location for Holistic Pain Management Of Wyoming, Llc is 1001 W Main St, Riverton, Wyoming. For appointments, you can reach them via phone at (307) 271-2332. The mailing address for Holistic Pain Management Of Wyoming, Llc is 1001 W Main St Ste B, Riverton, Wyoming and phone number is (307) 271-2332.

Holistic Pain Management Of Wyoming, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1487295846. 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) 271-2332.

Contact Information

Holistic Pain Management Of Wyoming, Llc
1001 W Main St
Riverton
WY 82501-3230
(307) 271-2332
Not Available

Primary Care Clinic Profile

Full NameHolistic Pain Management Of Wyoming, Llc
SpecialityNurse Practitioner
Location1001 W Main St, Riverton, Wyoming
Authorized Official Name and PositionRyan Shedd (CEO)
Authorized Official Contact3072712332
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holistic Pain Management Of Wyoming, Llc
1001 W Main St Ste B
Riverton
WY 82501-3230

Ph: (307) 271-2332
Holistic Pain Management Of Wyoming, Llc
1001 W Main St
Riverton
WY 82501-3230

Ph: (307) 271-2332

NPI Details:

NPI Number1487295846
Provider Enumeration Date10/07/2019
Last Update Date10/20/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0840621322
Medicare Enrollment IDO20200518000889

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Medical Identifiers

Medical identifiers for Holistic Pain Management Of Wyoming, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487295846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (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. Holistic Pain Management Of Wyoming, Llc acts as a billing entity for following providers:
Provider NameMary Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639263650
PECOS PAC ID: 7810922093
Enrollment ID: I20081201000347

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Provider NameJennifer R Tryder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780936419
PECOS PAC ID: 0345493250
Enrollment ID: I20121228000426

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Provider NameAmanda Bisby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538687652
PECOS PAC ID: 7719245943
Enrollment ID: I20171218001301

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