| Austin Taylor Crocker, PA-C | |
|
3556 W 9800 S Ste 101, South Jordan, UT 84095-3221 | |
| (801) 567-9780 | |
| Not Available |
| Full Name | Austin Taylor Crocker |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 3556 W 9800 S Ste 101, South Jordan, 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 |
|---|---|---|---|
| 1609565332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 14176469-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | PA20427 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Copperview Medical Center, Llc | 4284538976 | 18 |
| Entity Name | Copperview Medical Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316970924 PECOS PAC ID: 4284538976 Enrollment ID: O20031124000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Taylor Crocker, PA-C 3556 W 9800 S Ste 101, South Jordan, UT 84095-3221 Ph: (801) 567-9780 | Austin Taylor Crocker, PA-C 3556 W 9800 S Ste 101, South Jordan, UT 84095-3221 Ph: (801) 567-9780 |
Kyle Allan Vance, Physician Assistant Medicare: Medicare Enrolled Practice Location: 10433 S Redwood Rd Ste B, South Jordan, UT 84095 Phone: 801-260-1919 |
Cristina Frances Rodriguez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3556 W 9800 S Ste 101, South Jordan, UT 84095 Phone: 801-567-9780 |
Kathryn Klossner, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1680 W Reunion Ave Ste 5a, South Jordan, UT 84095 Phone: 801-809-4482 |
Jaron Clyde, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10433 S Redwood Rd, South Jordan, UT 84095 Phone: 801-609-9798 |
Miss Kathryn Renee Marshall, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10623 S Redwood Rd, Suite 101, South Jordan, UT 84095 Phone: 801-566-4242 |
James Markham Scanlan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5043 W Rosewood Dr, South Jordan, UT 84009 Phone: 801-652-1492 |
Mr. Zachary Eaton Adams, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3556 W 9800 S Ste 101, South Jordan, UT 84095 Phone: 801-567-9780 |