| Brent D Mains, | |
|
833 E Coventry Ln, Alpine, UT 84004-1240 | |
| (385) 447-7929 | |
| Not Available |
| Full Name | Brent D Mains |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 833 E Coventry Ln, Alpine, 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 |
|---|---|---|---|
| 1750079547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 14277457-1206 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Instant Orthopedic Specialists Pllc | 4183199078 | 2 |
| Entity Name | Instant Orthopedic Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629965777 PECOS PAC ID: 4183199078 Enrollment ID: O20260408002108 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent D Mains, 833 E Coventry Ln, Alpine, UT 84004-1240 Ph: (385) 447-7929 | Brent D Mains, 833 E Coventry Ln, Alpine, UT 84004-1240 Ph: (385) 447-7929 |
Angela Salveson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 155 W Canyon Crest Rd Ste 200, Alpine, UT 84004 Phone: 801-763-9851 Fax: 801-763-9852 |
Heather Leishman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 W Canyon Crest Rd, Suite 200, Alpine, UT 84004 Phone: 801-763-9851 |
Amber Astle, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 782 Canterbury Ln, Alpine, UT 84004 Phone: 801-866-8802 |
Mrs. Nicole M Wigton, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 W Canyon Crest Rd Ste 200, Alpine, UT 84004 Phone: 801-763-9851 |