| Devin Faye Petersen, | |
|
2995 E Middleton Way, Slc, UT 84124-3055 | |
| (801) 597-6419 | |
| Not Available |
| Full Name | Devin Faye Petersen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2995 E Middleton Way, Slc, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154878692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | IN PROCESS (Utah) | Primary |
| Entity Name | Exodus Healthcare Network PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306952783 PECOS PAC ID: 1456265057 Enrollment ID: O20031118000408 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Devin Faye Petersen, 2995 E Middleton Way, Slc, UT 84124-3055 Ph: (801) 597-6419 | Devin Faye Petersen, 2995 E Middleton Way, Slc, UT 84124-3055 Ph: (801) 597-6419 |
Jake Harrison Umbarger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3338 S 700 E Ste 300a, Slc, UT 84106 Phone: 801-261-4988 |
Elizabeth Leeanne Darling, PA-C MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr, #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 |
Regan K. Brooks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4252 Highland Dr., #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 |
Nancy J Stevenson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 S 700 E, Ste 10, Slc, UT 84107 Phone: 801-268-4141 Fax: 801-261-8609 |
Heather Lynn Walton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 Circle Of Hope, Clinic 2e, Slc, UT 84112 Phone: 801-587-4024 Fax: 801-585-3846 |
Mrs. Haley Eryn Maires, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Mario Capecchi Dr, Slc, UT 84113 Phone: 801-662-5566 |
Lauren Joan Olson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1950 Circle Of Hope, 4th Floor, Slc, UT 84112 Phone: 801-585-0100 Fax: 801-585-2935 |