NPI: 1407447766 · SHOSHONI, WY 82649 · Family Medicine Physician · NPI assigned 01/29/2021
| Authorized Official | KELLER, NATALYA (CFO) |
| NPI Enumeration Date | 01/29/2021 |
Other providers sharing the same authorized official: KELLER, NATALYA
| Provider | City | State | Total Paid |
|---|---|---|---|
| HOT SPRINGS COUNTY HOSPITAL DISTRICT | BASIN | WY | $410K |
| HOT SPRINGS COUNTY HOSPITAL DISTRICT | RIVERTON | WY | $72K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 25 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 25 | 13 | $2K |