| Danielle Marie Ricks, PA-C | |
|
2700 S Highway 191 Ste 2, Moab, UT 84532-3443 | |
| (435) 259-4466 | |
| Not Available |
| Full Name | Danielle Marie Ricks |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2700 S Highway 191 Ste 2, Moab, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639644123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10992609-1206 (Utah) | Primary |
| Entity Name | Moab Valley Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20040114000346 |
| Entity Name | Moab Valley Healthcare, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20061104000120 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Marie Ricks, PA-C 2700 S Highway 191 Ste 2, Moab, UT 84532-3443 Ph: (435) 259-4466 | Danielle Marie Ricks, PA-C 2700 S Highway 191 Ste 2, Moab, UT 84532-3443 Ph: (435) 259-4466 |
Mr. Timothy Joseph Cristman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 476 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |
Mr. Luke Allan Counterman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |
Ms. Hannah Elizabeth Riley, PA-C, MPH Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |
Lauren Wells, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5555 Old Airport Rd, Moab, UT 84532 Phone: 435-419-9210 Fax: 435-216-3020 |
Elizabeth Lazier Holtby, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |
Michael G Henderson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |
Desiree Lee Westfall, PA-C, MPH Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |