S48Wy1 LLC
A Medicare group practice based in Rawlins, WY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436474137), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9436474137
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- WY
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20150219002493 | WY | Part B Supplier - Clinic/Group Practice | 1891994950 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Wyoming Recovery Rawlins
dba Wyoming Recovery
- Substance Use Disorder Rehabilitation Clinic/Center
- Rawlins, WY
- NPI 1528657590
Practice locations
- Casper, WY1
- Rawlins, WY1
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (4).
-
Brittany N Cruz, M.S., CAP, PPC
- Addiction (Substance Use Disorder) Counselor
- Casper, WY
- NPI 1316452287
-
Cory Blake Cruz, PPC
- Professional Counselor
- Casper, WY
- NPI 1497391270
-
Kristi Hann, MS, CAP, LPC, NCC
- Addiction (Substance Use Disorder) Counselor
- Casper, WY
- NPI 1750634838
-
Deette Lundberg, LAT
- Addiction (Substance Use Disorder) Counselor
- Casper, WY
- NPI 1124650486
-
Hanna Powers, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Helena, MT
- NPI 1619500097
-
Thomas E Radosevich, M.D.
- Family Medicine Physician
- Thermopolis, WY
- NPI 1114969698
-
Shandra Shepard, NP-C
- Family Nurse Practitioner
- Rawlins, WY
- NPI 1699145698
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.