| Alyxandria Gonzales, | |
|
2620 W 1925 S, West Haven, UT 84401-3487 | |
| (801) 645-6670 | |
| Not Available |
| Full Name | Alyxandria Gonzales |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2620 W 1925 S, West Haven, 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 |
|---|---|---|---|
| 1659053924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 8445452-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canyon Home Care | Salt lake city, UT | Home health agency |
| Legacy Healthcare, Inc | Layton, UT | Home health agency |
| Specialty Nursing Services, Inc | Huntsville, UT | Home health agency |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mmg Llc | 5991039489 | 6 |
| Entity Name | Gary F Holland Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598861999 PECOS PAC ID: 2668466350 Enrollment ID: O20040414000799 |
| Entity Name | Ma Bo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740461219 PECOS PAC ID: 1254399652 Enrollment ID: O20050103000257 |
| Entity Name | Mmg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295392645 PECOS PAC ID: 5991039489 Enrollment ID: O20190703001917 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyxandria Gonzales, 2620 W 1925 S, West Haven, UT 84401-3487 Ph: (801) 645-6670 | Alyxandria Gonzales, 2620 W 1925 S, West Haven, UT 84401-3487 Ph: (801) 645-6670 |
Nikole Reeder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3777 S 3550 W, West Haven, UT 84401 Phone: 801-725-7787 | |
Amy Jo Fowers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4460 Stone Creek Rd Unit B, West Haven, UT 84401 Phone: 801-781-0798 | |
Amanda Darlene Sims, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2678 W 1950 S, West Haven, UT 84401 Phone: 801-941-1638 | |
Ashley Brianne Mueller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3384 W 4600 S Ste 3, West Haven, UT 84401 Phone: 801-317-4060 |