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Primary Practice Address
122 PETERSEN PKWY
THAYNE, WY 83127-9755 US
PECOS Enrolled

Sean Elliott Knighton

Nurse Practitioner (Family)


Sean Elliott Knighton

Overview

Sean Elliott Knighton is a Nurse Practitioner (Family) in the THAYNE area. Sean Elliott Knighton primary office location is at 122 PETERSEN PKWY and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1043549157 and the information was updated approximately 1 year ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
122 PETERSEN PKWY
THAYNE, WY 83127-9755 US
Phone: (307)-883-5852
Fax:
Practice Mailing Information
122 PETERSEN PKWY
THAYNE, WY 83127-9755 US
Phone: (307)-883-5852
Fax: (307)-883-4436
License NumberState
1391WY
35387WY
APRN-100730MT
CNP-01598NM
Type/IssuerIdentifierState
MEDICAID1043549157MT
MEDICAID139880600WY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes