Kathleen A Petro
LANDER WOMENS CARE LLC


Address: 535 E Main St, Lander, WY 82520-3470
Phone: 3073357720

Kathleen A Petro (NPI# 1730203613, PAC ID# 4789661513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1730203613
PAC ID by PECOS 4789661513
Professional Enrollment ID I20060210000483
Full Name Kathleen A Petro
Organization Legal Name LANDER WOMENS CARE LLC
Address 535 E Main St
Lander
WY 82520-3470
Phone Number 3073357720
Gender F
Credential NP
Graduation Year 1996
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3375779838
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
530008 SAGEWEST HEALTH CARE

Other Locations

Address Phone Organization
535 E Main St, Lander, WY 82520-3470 3073357720 LANDER WOMENS CARE LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 77%

Organization Information

Organization Legal Name LANDER WOMENS CARE LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Thomas E Dunaway Obstetrics/gynecology Lander Womens Care LLC 535 E Main St, Lander, WY 82520-3470
Karla L Wagner Obstetrics/gynecology Lander Womens Care LLC 206 Main St, Lander, WY 82520-3128

Office Location

Street Address 535 E MAIN ST
City LANDER
State WY
Zip 82520-3470

Physicians in the same location

Name Specialty Organization Address
Hosnay-ara B Rumi Physical Medicine and Rehabilitation 535 E Main St, Batavia, NY 14020-2741
Thomas E Dunaway Obstetrics/gynecology Lander Womens Care LLC 535 E Main St, Lander, WY 82520-3470
Blase W Strobl Physical Therapy Core Physical Therapy, LLC 535 E Main St, Evansville, WI 53536-1177
Mohammad Rumi Internal Medicine 535 E Main St, Batavia, NY 14020-2741
Melissa A Staskal Physical Therapy Core Physical Therapy, LLC 535 E Main St, Evansville, WI 53536-1177

Physicians in the same zip code

Name Specialty Organization Address
Stephanie Kay Brewer Chiropractic 431 Main St, Lander, WY 82520-1569
Donald A Gullickson Internal Medicine Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
Gentian A Scheer Internal Medicine Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
William Clark Clinical Social Worker Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
Holly Dee Crosby Nurse Practitioner Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
Sheila B Brown Pediatric Medicine Lander Valley Physician Practices LLC 830 Lincoln St, Lander, WY 82520-2736
Ryan M Flatt Physical Therapy Teton Therapy PC 425 Lincoln St Cty Cntr Plz, Suite 2, Lander, WY 82520-2831
Ty N Francis Physical Therapy Wind River Physical Therapy LLC 150 Lincoln St, Lander, WY 82520-2846
Jessica J Kotnour Physical Therapy Wind River Physical Therapy LLC 150 Lincoln St, Lander, WY 82520-2846
Heather L Bregar Physical Therapy Wind River Physical Therapy LLC 150 Lincoln St, Lander, WY 82520-2846
Find all physicians in zip 82520

Competitor

Search similar physicians

City LANDER
Zip Code 82520
Specialty NURSE PRACTITIONER
City + Specialty LANDER + NURSE PRACTITIONER

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Dataset Information

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.

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