| Eric Hammer, | |
|
95 E Center St, Gunnison, UT 84634-7770 | |
| (435) 528-7227 | |
| (435) 528-2175 |
| Full Name | Eric Hammer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 95 E Center St, Gunnison, 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 |
|---|---|---|---|
| 1194180976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9621787-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gunnison Valley Hospital Home Health | Gunnison, UT | Home health agency |
| Gunnison Valley Hospice | Gunnison, UT | Hospice |
| Gunnison Valley Hospital | Gunnison, 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 |
|---|---|
| Eric Hammer, 1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Eric Hammer, 95 E Center St, Gunnison, UT 84634-7770 Ph: (435) 528-7227 |
Amy Vanderherp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 95 East Center Street, Gunnison, UT 84634 Phone: 435-528-7227 Fax: 435-528-2175 |
Wade Moyle Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 95 N 100 E, Gunnison, UT 84634 Phone: 435-528-7202 Fax: 435-528-3624 |