Elijah Netjes, is a medicare enrolled "Physician Assistant" physician in Salt Lake City, Utah. Her current practice location is
50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 585-7676.
Elijah Netjes is licensed to practice in Utah (license number 14025069-1206) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245060631.
Physician's Profile
Full Name | Elijah Netjes |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 50 N Medical Dr, Salt Lake City, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245060631
- Provider Enumeration Date: 08/01/2024
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931630282
- Enrollment ID: I20240927000958
Medical Identifiers
Medical identifiers for Elijah Netjes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245060631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | 140250691206 (Utah) | Secondary |
363A00000X | Physician Assistant | 14025069-1206 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elijah Netjes is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elijah Netjes, 2847 N Augusta Dr, Lehi, UT 84043-5838 Ph: (616) 295-5828 | Elijah Netjes, 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 585-7676 |
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