| Keri L Holyoak, PA | |
|
7396 Union Park Ave Ste 201, Midvale, UT 84047-6702 | |
| (801) 567-1400 | |
| (801) 567-1777 |
| Full Name | Keri L Holyoak |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 7396 Union Park Ave Ste 201, Midvale, 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 |
|---|---|---|---|
| 1578578357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MH1325124 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Center Of Salt Lake Inc. | 7810903259 | 3 |
| Entity Name | Dermatology Center of Salt Lake Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689635799 PECOS PAC ID: 7810903259 Enrollment ID: O20060222000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Keri L Holyoak, PA 7396 Union Park Ave Ste 201, Midvale, UT 84047-6702 Ph: (801) 567-1400 | Keri L Holyoak, PA 7396 Union Park Ave Ste 201, Midvale, UT 84047-6702 Ph: (801) 567-1400 |
David Figueroa, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |
Miss Nicole Marie Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7302 S Bingham Junction Blvd, Midvale, UT 84047 Phone: 801-442-5502 |
Lynn Don Falkner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |
Mr. Patrick Barde Lang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 South. State Street, Midvale, UT 84047 Phone: 801-213-9400 |
Wendy Marie Macey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |
Ms. Erin Lee Dame, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7171 S 420 E, Midvale, UT 84047 Phone: 617-930-9302 |
Brenda Espitia, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7651 S Main St, Midvale, UT 84047 Phone: 801-417-0131 |