| Dr Andrew Spencer Pettit, DNP, NP, FNP-BC | |
|
348 E 4500 S Ste 300, Murray, UT 84107-8535 | |
| (801) 266-2777 | |
| (801) 266-1377 |
| Full Name | Dr Andrew Spencer Pettit |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 348 E 4500 S Ste 300, Murray, 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 |
|---|---|---|---|
| 1487200853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 8671455-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountainstar Medical Group-st. Marks Hospital Llc | 1557443322 | 13 |
| Entity Name | Mountainstar Medical Group-st. Marks Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073795258 PECOS PAC ID: 1557443322 Enrollment ID: O20080201000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Spencer Pettit, DNP, NP, FNP-BC Po Box 198560, Atlanta, GA 30384-8560 Ph: () - | Dr Andrew Spencer Pettit, DNP, NP, FNP-BC 348 E 4500 S Ste 300, Murray, UT 84107-8535 Ph: (801) 266-2777 |
Michael Christensen, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5802 S 900 E Unit 1, Murray, UT 84121 Phone: 480-868-9650 | |
Kristy Bentley, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-5400 | |
Alisa F Corry, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 210, Murray, UT 84107 Phone: 801-507-3380 | |
Patricia Hartley-clanton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5121 Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 Fax: 801-442-0643 | |
Laura B Hunt, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St, Ste 320, Murray, UT 84107 Phone: 801-507-3380 | |
Jason Reid Lesser, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 610, Murray, UT 84107 Phone: 801-507-3630 | |
Nathan Miles Jones, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 746 E Winchester St Ste 200, Murray, UT 84107 Phone: 801-456-2333 |