Placebo Ventures, Llc - Medicare Primary Care in Casper, WY

Placebo Ventures, Llc is a medicare enrolled primary clinic (Family Medicine) in Casper, Wyoming. The current practice location for Placebo Ventures, Llc is 5715 E 2nd St, Casper, Wyoming. For appointments, you can reach them via phone at (307) 265-0005. The mailing address for Placebo Ventures, Llc is 6010 S Walnut St, Casper, Wyoming and phone number is (307) 265-0947.

Placebo Ventures, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245559012. 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) 265-0005.

Contact Information

Placebo Ventures, Llc
5715 E 2nd St
Casper
WY 82609-4322
(307) 265-0005
Not Available

Primary Care Clinic Profile

Full NamePlacebo Ventures, Llc
SpecialityFamily Medicine
Location5715 E 2nd St, Casper, Wyoming
Authorized Official Name and PositionJoseph Edward Mickelson (PRESIDENT)
Authorized Official Contact3072650947
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Placebo Ventures, Llc
6010 S Walnut St
Casper
WY 82601-6248

Ph: (307) 265-0947
Placebo Ventures, Llc
5715 E 2nd St
Casper
WY 82609-4322

Ph: (307) 265-0005

NPI Details:

NPI Number1245559012
Provider Enumeration Date05/19/2010
Last Update Date08/11/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8729102504
Medicare Enrollment IDO20100831000525

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Medical Identifiers

Medical identifiers for Placebo Ventures, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245559012NPI-NPPES
315272OtherWYBLUE CROSS/BLUE SHIELD
110845000MedicaidWY

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. Placebo Ventures, Llc acts as a billing entity for following providers:
Provider NameJoseph E Mickelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467448043
PECOS PAC ID: 2668365008
Enrollment ID: I20050822000307

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