Allan Benjamin Wicks (NPI# 1497792402, PAC ID# 5496729337) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1497792402 |
| PAC ID by PECOS | 5496729337 |
| Professional Enrollment ID | I20100714000784 |
| Full Name | Allan Benjamin Wicks |
| Organization Legal Name | WYOMING CARDIOPULMONARY SERVICES PC |
| Address |
1230 E 1st St Casper WY 82601-2704 |
| Phone Number | 3072663174 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9830172261 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530012 | WYOMING MEDICAL CENTER |
| 530008 | SAGEWEST HEALTH CARE |
| 531302 | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| 531305 | PLATTE COUNTY MEMORIAL HOSPITAL |
| 531316 | MEMORIAL HOSPITAL OF CARBON COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 1230 E 1st St, Casper, WY 82601-2704 | 3072663174 | WYOMING CARDIOPULMONARY SERVICES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 98% | |
| MIPS_EC_047_overall | Care Plan | 96% | |
| MIPS_EC_243_overall | Cardiac Rehabilitation Patient Referral from an Outpatient Setting | 20% |
| Organization Legal Name | WYOMING CARDIOPULMONARY SERVICES PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Eddington | Physician Assistant | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Arianne E Staffileno | Nurse Practitioner | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Oleg Ivanov | Cardiovascular Disease (cardiology) | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Robert Allen Novick | Interventional Cardiology | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Wesley W Hiser | Interventional Cardiology | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Rachael Mcgaha Miller | Physician Assistant | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| John W Pickrell | Cardiovascular Disease (cardiology) | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Stephanie Margot Davis | Nurse Practitioner | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Adrian Fluture | Interventional Cardiology | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Street Address |
1230 E 1ST ST |
| City | CASPER |
| State | WY |
| Zip | 82601-2704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Eddington | Physician Assistant | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Arianne E Staffileno | Nurse Practitioner | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Oleg Ivanov | Cardiovascular Disease (cardiology) | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Robert Allen Novick | Interventional Cardiology | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Wesley W Hiser | Interventional Cardiology | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Rachael Mcgaha Miller | Physician Assistant | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| John W Pickrell | Cardiovascular Disease (cardiology) | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Stephanie Margot Davis | Nurse Practitioner | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Adrian Fluture | Interventional Cardiology | Wyoming Cardiopulmonary Services PC | 1230 E 1st St, Casper, WY 82601-2704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Scott Bevan | Podiatry | 1950 E Beverly St, Casper, WY 82601 | |
| Jennifer L Greenup | Clinical Social Worker | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 | |
| Kelly N Dornbier | Occupational Therapy | The Shriver Therapy Group, Inc. | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 |
| Marla J Wonser | Occupational Therapy | The Shriver Therapy Group, Inc. | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 |
| Amy E Linam | Speech Language Pathologist | The Shriver Therapy Group, Inc. | 800 Werner Ct, Casper, WY 82601-1325 |
| Lisa Lynne Love | Clinical Social Worker | 800 Werner Ct, Suite D, Casper, WY 82601-1326 | |
| Elizabeth K Brummett | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Sandra S Milliken | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Kelly L Shipley | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Patrice J Lichliter | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Find all physicians in zip 82601 | |||
| City | CASPER |
| Zip Code | 82601 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | CASPER + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.