| Jared Michael Roberts, | |
| 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005-5543 | |
| (801) 789-5566 | |
| (801) 642-2941 | 
| Full Name | Jared Michael Roberts | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962031435 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 13953401-1205 (Utah) | Secondary | 
| 207Q00000X | Family Medicine | 13953401-1205 (Utah) | Primary | 
| Entity Name | Premier Family Medical | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jared Michael Roberts, 275 W 200 N, Lindon, UT 84042-5009 Ph: (801) 796-1333 | Jared Michael Roberts, 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005-5543 Ph: (801) 789-5566 | 
| William Paul Berg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
| Jodi Lyn Ott, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3133 E Cedar Pass Rd, Eagle Mountain, UT 84005 Phone: 435-531-1066 | |
| Steven Len Embley, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4095 E Pony Express Pkwy, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 |