| Amanda Lively, FNP | |
|
377 N Fairgrounds Rd, Price, UT 84501-4241 | |
| (435) 613-2200 | |
| (435) 613-2201 |
| Full Name | Amanda Lively |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 377 N Fairgrounds Rd, Price, 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 |
|---|---|---|---|
| 1982064622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP130221 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 7946150-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Castleview Hospital | Price, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shane D Gagon Md, Pc | 9335236868 | 6 |
| Entity Name | Shane D Gagon Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982815064 PECOS PAC ID: 9335236868 Enrollment ID: O20071031000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lively, FNP Po Box 1437, Price, UT 84501-1437 Ph: (435) 613-2200 | Amanda Lively, FNP 377 N Fairgrounds Rd, Price, UT 84501-4241 Ph: (435) 613-2200 |
Samantha Jacquelyn Mclean, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 E 100 N, Price, UT 84501 Phone: 435-637-5061 | |
Mrs. Danielle Howa Pendergrass, DNP, APRN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 S 600 E, Suite B, Price, UT 84501 Phone: 435-637-0313 Fax: 435-637-0317 | |
Mrs. Jennifer Rose Benson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 S Fairground Rd, Price, UT 84501 Phone: 435-636-3739 | |
Mrs. Connie Kim Quinton, APRN MSN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 590 E 100 N Ste 6, Price, UT 84501 Phone: 435-613-9466 Fax: 435-613-9469 | |
Donna Mathis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 N Hospital Dr, Ste 3, Price, UT 84501 Phone: 435-637-6348 Fax: 435-637-6422 | |
David K Mcomber, APRN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 N Fairgrounds Rd Ste 2, Price, UT 84501 Phone: 435-613-0733 Fax: 435-613-0732 | |
Mr. Cris Ronald Chamberlain, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 N Hospital Dr Ste 5, Price, UT 84501 Phone: 435-637-4590 Fax: 435-637-4598 |