| Brock Haskell, | |
|
11620 S State St Ste 1403, Draper, UT 84020-7124 | |
| (385) 302-7369 | |
| (385) 247-8023 |
| Full Name | Brock Haskell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 11620 S State St Ste 1403, Draper, 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 |
|---|---|---|---|
| 1821627746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 57989 (California) | Secondary |
| 363A00000X | Physician Assistant | 11856179-1206 (Utah) | Primary |
| Entity Name | Sergio Abarca MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770766586 PECOS PAC ID: 5890727663 Enrollment ID: O20050901000511 |
| Entity Name | Life Elevated Psychiatry LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063199305 PECOS PAC ID: 2567825326 Enrollment ID: O20230825002269 |
| Mailing Address | Practice Location Address |
|---|---|
| Brock Haskell, 11620 S State St Ste 1403, Draper, UT 84020-7124 Ph: (385) 302-7369 | Brock Haskell, 11620 S State St Ste 1403, Draper, UT 84020-7124 Ph: (385) 302-7369 |
Maria Marieta Svagr Margot, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020 Phone: 801-572-0311 |
Scott Bruderer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1126 E 12300 S, Draper, UT 84020 Phone: 801-545-0500 Fax: 801-545-0626 |
Nicole Kelly, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12340 S 450 E, Draper, UT 84020 Phone: 801-501-9797 |
Aspen Wayment Jones, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 11762 S State St Ste 110, Draper, UT 84020 Phone: 385-218-0587 Fax: 385-381-4447 |
Mrs. Nyssa Elise Seaton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12101 S State St, Draper, UT 84020 Phone: 801-501-9797 Fax: 801-501-9799 |
Megan Furber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2000 |
Laura Eccles, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 360, Draper, UT 84020 Phone: 801-260-3687 |