| Dr Katie Lynn Donnelly, APRN, FNP-C | |
|
65 E 6850 S, Midvale, UT 84047-1215 | |
| (307) 259-8362 | |
| Not Available |
| Full Name | Dr Katie Lynn Donnelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 65 E 6850 S, Midvale, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023781259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6632518-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amazing Medical Associates Inc | 5991606329 | 21 |
| Entity Name | Amazing Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487836532 PECOS PAC ID: 5991606329 Enrollment ID: O20040117000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Katie Lynn Donnelly, APRN, FNP-C 5895 S Sam Oliver Dr, Murray, UT 84107-5912 Ph: (307) 259-8362 | Dr Katie Lynn Donnelly, APRN, FNP-C 65 E 6850 S, Midvale, UT 84047-1215 Ph: (307) 259-8362 |
Dr. Jay Caesar Moreland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 W 7200 S Ste A, 72nd Street Clinic, Chc Inc, Midvale, UT 84047 Phone: 801-566-5494 Fax: 801-561-9647 | |
Dr. Megan C Phelps, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 220 W 7200 S Ste A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 877-497-4661 | |
Grace Kim Harris, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 E Fort Union Blvd, Suite 200, Midvale, UT 84047 Phone: 801-233-4400 Fax: 801-233-4410 | |
Dr. Julia Krumholz, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 220 W 7200 S Ste A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 877-497-4661 | |
Dr. Sarah Miller, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 220 W 7200 S Ste A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 877-497-4661 | |
Larisa B. Yaroshchuk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |