| Bryan L Nelson, PA-C | |
|
830 N 2000 W, Pleasant Grove, UT 84062-4047 | |
| (801) 756-3511 | |
| (801) 756-1705 |
| Full Name | Bryan L Nelson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 830 N 2000 W, Pleasant Grove, 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 |
|---|---|---|---|
| 1164605226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA19440 (California) | Secondary |
| 363A00000X | Physician Assistant | (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Family Medical | 7416197785 | 84 |
| Entity Name | Emergency Physicians Integrated Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
| Entity Name | Premier Family Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan L Nelson, PA-C 275 W 200 N, Lindon, UT 84042-5009 Ph: (801) 769-1333 | Bryan L Nelson, PA-C 830 N 2000 W, Pleasant Grove, UT 84062-4047 Ph: (801) 756-3511 |
Kristi Lyn Cox, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1912 W 930 N, Pleasant Grove, UT 84062 Phone: 801-492-1999 Fax: 801-492-1991 |
Levi Robert Bachler, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 S 1300 W, Pleasant Grove, UT 84062 Phone: 385-440-1400 Fax: 801-845-9965 |
Hilary Price, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1912 W 930 N, Pleasant Grove, UT 84062 Phone: 801-492-1999 |
Jennifer Makuakane, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1416 W State Rd, Pleasant Grove, UT 84062 Phone: 385-202-3278 |
Jefferson M Allen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 360 S 1300 W, Pleasant Grove, UT 84062 Phone: 385-440-1400 Fax: 801-845-9965 |
Megan E Keetch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1064 S N County Blvd Ste 385, Pleasant Grove, UT 84062 Phone: 801-477-7189 |
Amelia L Blotter, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1912 W 930 N, Pleasant Grove, UT 84062 Phone: 801-492-1999 |