| Kelsey Bywater, FNP | |
|
984 Medical Dr Ste 1, Brigham City, UT 84302-4712 | |
| (435) 723-5248 | |
| (877) 395-5866 |
| Full Name | Kelsey Bywater |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 984 Medical Dr Ste 1, Brigham City, 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 |
|---|---|---|---|
| 1629508403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 337245-3102 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Healthcare At Home-nuthh | Logan, UT | Home health agency |
| Brigham City Community Hospital | Brigham city, UT | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Canyon Healthcare Inc | 8123368925 | 16 |
| Medical Arts Center Clinic Of Brigham City Inc | 9931000460 | 10 |
| Entity Name | Medical Arts Center Clinic Of Brigham City Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649375270 PECOS PAC ID: 9931000460 Enrollment ID: O20040117000175 |
| Entity Name | Canyon Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649748559 PECOS PAC ID: 8123368925 Enrollment ID: O20190313002843 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Bywater, FNP 984 Medical Dr Ste 1, Brigham City, UT 84302-4712 Ph: (435) 723-5248 | Kelsey Bywater, FNP 984 Medical Dr Ste 1, Brigham City, UT 84302-4712 Ph: (435) 723-5248 |
Justin Michael Woodruff, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 663 Parker Lane, Brigham City, UT 84302 Phone: 435-734-9449 | |
Miranda Buttars, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 S Medical Dr, Brigham City, UT 84302 Phone: 435-310-5800 | |
Lindee P Allen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W Hospital Rd, Brigham City, UT 84302 Phone: 435-734-2041 Fax: 435-723-8028 | |
Mr. Kirk Russell Waldron, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 S 200 E Ste 102, Brigham City, UT 84302 Phone: 801-513-9652 | |
Lynn C Larsen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 984 Medical Dr Ste 1, Brigham City, UT 84302 Phone: 435-723-5248 Fax: 435-723-5240 | |
Julie C. Child, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 South Medical Drive, Ste 101, Brigham City, UT 84302 Phone: 435-538-1733 Fax: 435-538-1752 |