John Robert Bates, M.D.
Individual provider Active NPI Psychiatry Physician · Lander, WY
NPI 1720170228 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1720170228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 14728A (WY)
- Practice address
- 105 Wyoming St Ste B
Lander, WY 82520-3919 - Phone
- (307) 206-1121
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Oregon Health Sciences University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ochsner Clinic LLC
Northwest Telepsychiatry PC
Community Counseling Solutions
Practice addresses (Care Compare)
16777 Medical Ctr Dr
Baton Rouge, LA 70816-3254
Phone (225) 754-3278
175 S 5TH St
Lander, WY 82520-3001
Phone (307) 206-1121
528 E Main St E
Grant County Health Department
John Day, OR 97845-1289
Phone (541) 575-0429
Hospital & facility affiliations
- Ochsner Medical Center - Baton Rouge
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in OR, ID, WY, LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040510000054 | OR | Practitioner - Psychiatry | 0941299507 | Reassigns benefits to 1 organization |
| I20151130001864 | ID | Practitioner - Psychiatry | 0941299507 | |
| I20240507002198 | WY | Practitioner - Psychiatry | 0941299507 | Reassigns benefits to 1 organization |
| I20251106004487 | LA | Practitioner - Psychiatry | 0941299507 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-13088 | ID | MD | Psychiatry Physician |
| 14728A | WY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Community Counseling Solutions | Current | Accepting new patients | |
| Grant County | Current | Accepting new patients | |
| Community Counseling Solutions | Current |
Accepting new patients | |
| Nutrition Works LLC | Past |
Accepting new patients | |
| Memorial Hospital of Converse County | Past |
Accepting new patients |
Locations
16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278
17050 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-5117
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
528 E Main St
Ste E
John Day, OR 97845
Phone (541) 575-0429
2515 Westgate
Pendleton, OR 97801
Phone (541) 276-0802
Interoperability endpoints
- jbates2478874@direct.ochsner.org
- jbates351165@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M-13088 | ID | |
| Psychiatry Physician | 2084P0800X | MD24828 | OR | |
| Psychiatry Physician | 2084P0800X | 14728A | WY | Yes |
Addresses
Primary practice location
105 Wyoming St Ste B
Lander, WY 82520-3919
Mailing address
105 Wyoming St Ste B
Lander, WY 82520-3919
Phone (307) 206-1121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240533 | Medicaid | OR | |
| 225939700 | Medicaid | WY |
Other providers in Lander, WY
- Mary Rachael Barnes
- Richard E. Barnes
- Amanda Barrett
- Mina Barrett
- Alexis Bartolucci
- Vernalyn Bearing
- Jennifer Beddoes
- Bell-Milby, P.C.
- Jordan Nichole Belser
- Benessere Clinic LLC
All providers in Lander, WY · Psychiatry Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.