| Steven Brandon Nickle, DO | |
|
2121 N 1700 W, Layton, UT 84041-8803 | |
| (801) 773-4840 | |
| (801) 525-8151 |
| Full Name | Steven Brandon Nickle |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 2121 N 1700 W, Layton, 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 |
|---|---|---|---|
| 1255722617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | UO3507 (Florida) | Secondary |
| 207N00000X | Dermatology | 10260137-1204 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanner Memorial Clinic | 4284547985 | 231 |
| Entity Name | Tanner Memorial Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Brandon Nickle, DO 3200 S University Dr, Davie, FL 33328-2018 Ph: (954) 262-4100 | Steven Brandon Nickle, DO 2121 N 1700 W, Layton, UT 84041-8803 Ph: (801) 773-4840 |
Bradley George Neuenschwander, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8103 | |
Jamison Anne Harvey, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2075 University Park Blvd, Layton, UT 84041 Phone: 801-779-6300 Fax: 801-779-6349 | |
Brayden Forbes, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-680-3340 | |
Matthew Barrett Innes, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 | |
Michael R Martineau, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 | |
Scott R Checketts, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 |