Tracy Marie Deschampe Sage
Individual provider Active NPI Case Manager/Care Coordinator · Casper, WY
NPI 1912430828 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1912430828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 102 N Montana Ave
Casper, WY 82609-1706 - Phone
- (307) 461-3392
- NPI assigned
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
102 N Montana Ave
Casper, WY 82609-1706
Mailing address
102 N Montana Ave
Casper, WY 82609-1706
Phone (307) 461-3392
Other providers in Casper, WY
- Jan L Demoulin
- Denise R Prugh DDS
- Jennifer M Depaolo
- Kristi Depoorter
- Christian R Dequet
- Bradlie Ariel Dewald
- Nichelle Dewald
- Shannon Marie Dewitt
- Diamond Anesthesia PC
- Diane C. Henshaw, M.D., P.C.
All providers in Casper, WY · Case Manager/Care Coordinator in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.