| 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 Practice |
| Experience | 5 Years |
| Location | 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Family Medical | 7416197785 | 80 |
| 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 |