| Jean Stanford, PA-C | |
|
412 W 800 N, Orem, UT 84057-3728 | |
| (801) 235-7246 | |
| (801) 226-4098 |
| Full Name | Jean Stanford |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 412 W 800 N, Orem, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710037213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 102228-1206 (Utah) | Primary |
| Entity Name | Salt Lake Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Stanford, PA-C 283 E 930 S, Orem, UT 84058-5001 Ph: (801) 225-6246 | Jean Stanford, PA-C 412 W 800 N, Orem, UT 84057-3728 Ph: (801) 235-7246 |
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 |
Ted Joseph Heap, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1443 W 800 N Ste 302, Orem, UT 84057 Phone: 801-655-0015 |