| Jason Eatough, PA | |
|
331 N 400 W, Orem, UT 84057-1913 | |
| (801) 714-3200 | |
| (801) 714-3201 |
| Full Name | Jason Eatough |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 331 N 400 W, Orem, 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 |
|---|---|---|---|
| 1205874179 | NPI | - | NPPES |
| 806997400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA509 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | 319284-1206 (Utah) | Primary |
| 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 |
| 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 |
|---|---|
| Jason Eatough, PA Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 714-3200 | Jason Eatough, PA 331 N 400 W, Orem, UT 84057-1913 Ph: (801) 714-3200 |
Mrs. Chelsea Genna Marshall, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 E 770 N, Orem, UT 84097 Phone: 801-724-9840 Fax: 801-235-1509 |
Allison Nicole Sipple, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 W University Pkwy, Orem, UT 84058 Phone: 801-671-5033 |
Joshua D Arnold, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 E 770 N, Orem, UT 84097 Phone: 801-724-9840 Fax: 801-235-1509 |
Ashley Harward, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 173 N 400 W Ste C11, Orem, UT 84057 Phone: 801-802-7373 Fax: 801-802-7733 |
Scott West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 552 W 800 N, Orem, UT 84057 Phone: 801-764-0200 Fax: 801-764-0206 |
Albert Pope, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 552 W 800 N, Orem, UT 84057 Phone: 801-764-0200 Fax: 801-764-0206 |
Matthew R Lovelace, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 173 N 400 W Ste C11, Orem, UT 84057 Phone: 801-802-7373 Fax: 801-802-7733 |