| Blake Henry Miles, FNP | |
|
977 S Via La Costa Way, Kaysville, UT 84037-2839 | |
| (801) 589-6988 | |
| Not Available |
| Full Name | Blake Henry Miles |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 977 S Via La Costa Way, Kaysville, 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 |
|---|---|---|---|
| 1003526468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5808074-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Henry Miles, FNP 977 S Via La Costa Way, Kaysville, UT 84037-2839 Ph: (801) 589-6988 | Blake Henry Miles, FNP 977 S Via La Costa Way, Kaysville, UT 84037-2839 Ph: (801) 589-6988 |
Jocelyn Anne Montierth, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-216-4130 | |
Natalie E Royster-jensen, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 498 N Kays Dr Ste 200, Kaysville, UT 84037 Phone: 385-382-1555 | |
Nicole Stapley, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 N 400 W, Kaysville, UT 84037 Phone: 801-773-4840 Fax: 801-525-8151 | |
Mr. Jordan Wyler Johnsen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-876-3749 Fax: 801-876-3697 | |
Nicholas George Jarvis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-876-3749 | |
Cheryl Ann Wentworth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 498 N 900 W, Kaysville, UT 84037 Phone: 385-382-1555 |