| Cory Nathanael Miller, PA | |
|
1055 N 500 W, Suite 212, Provo, UT 84604-3305 | |
| (801) 374-2362 | |
| (801) 429-8196 |
| Full Name | Cory Nathanael Miller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 1055 N 500 W, Provo, 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 |
|---|---|---|---|
| 1346298510 | NPI | - | NPPES |
| P53977 | Other | UT | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3131911206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Symbii Home Health South | Murray, UT | Home health agency |
| Intermountain Homecare Home Health Salt Lake | South jordan, UT | Home health agency |
| Intermountain Health Utah Valley Hospital | Provo, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Revere Health Pc | 7517868508 | 407 |
| Entity Name | Revere Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Nathanael Miller, PA 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Cory Nathanael Miller, PA 1055 N 500 W, Suite 212, Provo, UT 84604-3305 Ph: (801) 374-2362 |
Kelly Marie Daly-wolfe, PA-C, RDN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W, Provo, UT 84601 Phone: 801-429-2000 |
John Harold Ball, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546 |
Devin W Christensen, PA-S2 Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1360 S 760 W, Provo, UT 84601 Phone: 801-471-7998 |
James Scott Arregui, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 503, Provo, UT 84604 Phone: 801-357-7081 |
Robert Rowe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 S State St, Provo, UT 84606 Phone: 801-429-2000 |
Michael Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-418-0941 |
Stacie Glass, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604 Phone: 801-357-0570 |