Ellen Kingdom has Physician Assistant as her primary medical specialty. Their primary office is: 2301 House Ave in Cheyenne, Wyoming.
They're a part of the: Cheyenne Urological Pc medical group which has around 5 members. You can call their office at 307-635-4131 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2020 (around 4 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.
Ellen Kingdom
Cheyenne Urological Pc
2301 House Ave
Cheyenne, Wyoming 82001
307-635-4131
Phone: 307-635-4131
Enter a starting address:
Medical School: Sorry, her university is not listed
Graduation Year: 2020
The Primary Medical Specialty for Ellen Kingdom is listed as: Physician Assistant
Approximate Years of Experience: 4
PAC (PECOS ID)#: 6800209388
NPI #: 1508480542
NPI Created On: 06/05/2020
NPI Last Updated Listed as: 12/04/2020
Primary Taxonomy Code: 363A00000X
License Number:
PA.0006279
Listed Gender: Female
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $11
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 793038617
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: HYPERHYDROSIS
Name of Drug #1: BOTOX
Open Associated Drug #1: 0023-1145-01
Payments Total: $23
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 793038619
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: UROLOGY
Name of Drug #1: BOTOX
Open Associated Drug #1: 0023-1145-01
Payments Total: $13
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 794678203
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: ENDOCRINOLOGY
Name of Drug #1: LUPRON DEPOT
Open Associated Drug #1: 0074-3346-03
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 821710535
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: UROLOGY
Name of Drug #1: GEMTESA
Open Associated Drug #1: 73336-075-30
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 821712721
Being Disputed:: No
Product Related: No
Payments Total: $14
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 821837999
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: UROLOGY
Name of Drug #1: GEMTESA
Open Associated Drug #1: 73336-075-30
Payments Total: $14
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 821844843
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: UROLOGY
Name of Drug #1: GEMTESA
Open Associated Drug #1: 73336-075-30
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 828726603
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: UROLOGY
Name of Drug #1: XIAFLEX
Open Associated Drug #1: 66887-003-01
Drug or Biological: Biological
Product Category #2: UROLOGY
Name Of Drug #2:: EDEX
Associated Drug #2: 52244-010-02
Drug or Biological #3:: Biological
Product Category #3: UROLOGY
Name of Drug: AVEED
Name Of Drug #3: 67979-511-43
Payments Total: $19
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 835007293
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: HORMONE THERAPY
Name of Drug #1: ORGOVYX
Open Associated Drug #1: 72974-120-01
Payments Total: $17
Number of Payments:: 1
Form of Payment: In-kind items and services
Ownership Interest:
Record ID:: 840110385
Being Disputed:: No
Product Related: Yes
Drug or Biological: Device
Product Category #1: Medical Urology
Name of Drug #1: LoFric
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Cheyenne Urological Pc
Urology
2301 House Ave
Cheyenne Wy 82001-3179
Cheyenne Urological Pc
Urology
2301 House Ave
Cheyenne Wy 82001-3179
Cheyenne Urological Pc
Nurse Practitioner
2301 House Ave
Cheyenne Wy 82001-3179
Cheyenne Urological Pc
Physician Assistant
2301 House Ave
Cheyenne Wy 82001-3179
Cheyenne Urological Pc
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View all 5 members of Cheyenne Urological Pc medical group