| Jeffery Michael Smith, PA | |
|
441 S Redwood Rd, Slc, UT 84104-3539 | |
| (801) 973-2588 | |
| (801) 973-6985 |
| Full Name | Jeffery Michael Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 441 S Redwood Rd, Slc, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861961153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | University of Utah Community Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467241554 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Michael Smith, PA Po Box 307, Bountiful, UT 84011-0307 Ph: (801) 294-6907 | Jeffery Michael Smith, PA 441 S Redwood Rd, Slc, UT 84104-3539 Ph: (801) 973-2588 |
Jake Harrison Umbarger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3338 S 700 E Ste 300a, Slc, UT 84106 Phone: 801-261-4988 |
Elizabeth Leeanne Darling, PA-C MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr, #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 |
Devin Faye Petersen, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2995 E Middleton Way, Slc, UT 84124 Phone: 801-597-6419 |
Regan K. Brooks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4252 Highland Dr., #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 |
Nancy J Stevenson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 S 700 E, Ste 10, Slc, UT 84107 Phone: 801-268-4141 Fax: 801-261-8609 |
Heather Lynn Walton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 Circle Of Hope, Clinic 2e, Slc, UT 84112 Phone: 801-587-4024 Fax: 801-585-3846 |
Mrs. Haley Eryn Maires, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Mario Capecchi Dr, Slc, UT 84113 Phone: 801-662-5566 |