| Amy Vanderherp, PA-C | |
|
95 East Center Street, Gunnison, UT 84634 | |
| (435) 528-7227 | |
| (435) 528-2175 |
| Full Name | Amy Vanderherp |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 95 East Center Street, Gunnison, 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 |
|---|---|---|---|
| 1326349051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7780728-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gunnison Valley Hospital | Gunnison, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Revere Health Pc | 7517868508 | 407 |
| Numinus Wellness Ut Inc | 2163750688 | 50 |
| Entity Name | Revere Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Entity Name | Numinus Wellness UT Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Vanderherp, PA-C 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Amy Vanderherp, PA-C 95 East Center Street, Gunnison, UT 84634 Ph: (435) 528-7227 |
Eric Hammer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 95 E Center St, Gunnison, UT 84634 Phone: 435-528-7227 Fax: 435-528-2175 |
Wade Moyle Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 95 N 100 E, Gunnison, UT 84634 Phone: 435-528-7202 Fax: 435-528-3624 |