| Cody Nielson, PA-C | |
|
140 White Sage Ave, Delta, UT 84624-8928 | |
| (435) 864-3333 | |
| (435) 864-2790 |
| Full Name | Cody Nielson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 140 White Sage Ave, Delta, 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 |
|---|---|---|---|
| 1609127885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8434517-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Hospital | Logan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Nielson, PA-C 1055 N 500 W, Provo, UT 84604-3305 Ph: (801) 812-4673 | Cody Nielson, PA-C 140 White Sage Ave, Delta, UT 84624-8928 Ph: (435) 864-3333 |
Robert Preston Keel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 130 White Sage Ave, Delta, UT 84624 Phone: 435-864-2708 | |
Nathan Bliss, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 140 White Sage Ave, Delta, UT 84624 Phone: 435-864-3333 Fax: 435-864-2790 |