| Logan Sanderson, FNP-C | |
|
3181 W 9000 S, West Jordan, UT 84088-5610 | |
| (801) 965-3600 | |
| Not Available |
| Full Name | Logan Sanderson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 3181 W 9000 S, West Jordan, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316768534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11741724-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jordan Valley Medical Center | West jordan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granger Medical Clinic Pc | 3476465691 | 172 |
| Entity Name | Granger Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Granger Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Sanderson, FNP-C 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Logan Sanderson, FNP-C 3181 W 9000 S, West Jordan, UT 84088-5610 Ph: (801) 965-3600 |
Peggy Anne Jerome, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8537 Redwood Rd, Suite A - Main Level, West Jordan, UT 84088 Phone: 801-568-2898 | |
Megan Bliss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677 | |
Karty Dormera, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3895 W 7800 S Ste 100, West Jordan, UT 84088 Phone: 801-280-7774 Fax: 801-748-2790 | |
Kim Sundstrom, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9289 S Redwood Rd Ste C, West Jordan, UT 84088 Phone: 801-568-2898 | |
Bari Michelle King, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3570 W 9000 S, Suite, 100, West Jordan, UT 84088 Phone: 801-569-1999 Fax: 801-569-2001 | |
Elyse E Lake, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677 Fax: 801-282-2050 | |
Ms. Barbara Patterson Reineke, FNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1575 W 7000 S, West Jordan, UT 84084 Phone: 801-569-9133 Fax: 801-569-9103 |