| Jennifer B Littledike, PA-C | |
|
210 Millpond, Stansbury Park, UT 84074-8187 | |
| (435) 843-3647 | |
| Not Available |
| Full Name | Jennifer B Littledike |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 210 Millpond, Stansbury Park, 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 |
|---|---|---|---|
| 1063729481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain West Medical Center | Tooele, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shaun Gundersen Fnp Pllc | 6507251782 | 4 |
| Entity Name | Patrick Green MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518256650 PECOS PAC ID: 6204000102 Enrollment ID: O20111110000358 |
| Entity Name | Shaun Gundersen Fnp PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457002503 PECOS PAC ID: 6507251782 Enrollment ID: O20221206001435 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer B Littledike, PA-C 210 Millpond, Stansbury Park, UT 84074-8187 Ph: (435) 843-3647 | Jennifer B Littledike, PA-C 210 Millpond, Stansbury Park, UT 84074-8187 Ph: (435) 843-3647 |
Ms. Johanna E Greenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Millpond, #100, Stansbury Park, UT 84074 Phone: 435-843-3000 Fax: 435-843-3015 |
Ms. Amanda Madrid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Millpond, Stansbury Park, UT 84074 Phone: 435-843-3096 |
Cameron Cooper, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 576 E Highway 138 Ste 310, Stansbury Park, UT 84074 Phone: 801-827-0662 |