University of Wyoming

A Medicare group practice based in Laramie, WY: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4183607054), with 85 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183607054The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
WY
Enrollments
4
Group size
40 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040610001637 WY Part B Supplier - Clinic/Group Practice 1770681439
O20140926000650 WY Part A Provider - Federally Qualified Health Center (FQHC) 1558657650
O20141014000811 WY Part A Provider - Federally Qualified Health Center (FQHC) 1770681439
O20170502002191 WY Part A Provider - Federally Qualified Health Center (FQHC) 1639617061

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 85

Clinicians who reassign their Medicare benefits to this group (82) or whom Care Compare lists as members (40).

Sources for this page