| Elyse E Lake, NP | |
|
3354 W 7800 S, West Jordan, UT 84088-4506 | |
| (801) 282-2677 | |
| (801) 282-2050 |
| Full Name | Elyse E Lake |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 3354 W 7800 S, West Jordan, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063721611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6168554-8900 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jordan Valley Medical Center | West jordan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hunter Medical Center Inc | 3678461951 | 8 |
| Entity Name | Hunter Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205957131 PECOS PAC ID: 3678461951 Enrollment ID: O20040308001440 |
| Mailing Address | Practice Location Address |
|---|---|
| Elyse E Lake, NP 3534 S 6000 W, West Valley City, UT 84128-2610 Ph: (801) 282-2677 | Elyse E Lake, NP 3354 W 7800 S, West Jordan, UT 84088-4506 Ph: (801) 282-2677 |
Aaron Ezekiel Wilkerson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7777 S Redwood Rd, West Jordan, UT 84084 Phone: 801-966-1118 | |
Peggy Anne Jerome, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8537 Redwood Rd, Suite A - Main Level, West Jordan, UT 84088 Phone: 801-568-2898 | |
Megan Bliss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677 | |
Gaylinn Breeze, APRN, AGPCNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7093 S 2980 W, West Jordan, UT 84084 Phone: 801-554-2849 | |
Elizabeth Huser, FNP-BC, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 S Redwood Rd, West Jordan, UT 84084 Phone: 000-000-0000 | |
Karty Dormera, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3895 W 7800 S Ste 100, West Jordan, UT 84088 Phone: 801-280-7774 Fax: 801-748-2790 | |
Bari Michelle King, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3570 W 9000 S, Suite, 100, West Jordan, UT 84088 Phone: 801-569-1999 Fax: 801-569-2001 |