| Madison Rae Groberg, | |
|
115 Golf Course Rd Ste E, Logan, UT 84321-5934 | |
| (435) 999-4059 | |
| Not Available |
| Full Name | Madison Rae Groberg |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 115 Golf Course Rd Ste E, Logan, 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 |
|---|---|---|---|
| 1043837404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-2019 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pearl Health Clinic | 0840356077 | 38 |
| Entity Name | Pearl Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447426465 PECOS PAC ID: 0840356077 Enrollment ID: O20090312000617 |
| Entity Name | Anywhere Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316460850 PECOS PAC ID: 4183996317 Enrollment ID: O20220420000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Rae Groberg, 115 Golf Course Rd Ste E, Logan, UT 84321-5934 Ph: Not Available | Madison Rae Groberg, 115 Golf Course Rd Ste E, Logan, UT 84321-5934 Ph: (435) 999-4059 |
Adrienne Mcmaster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2380 N 400 E Ste B, Logan, UT 84341 Phone: 435-752-5741 |
Mr. Tyson Anderson Cluff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-2800 |
Thomas W Price, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 E 1400 N, Logan, UT 84341 Phone: 435-716-5478 |
Jackson Cheal, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St Ste 110, Logan, UT 84321 Phone: 435-565-6043 Fax: 435-220-2030 |
Benjamin Seale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-2800 |
Kelsey Thorne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E Ste 201, Logan, UT 84341 Phone: 435-787-7001 Fax: 801-216-8357 |
Chantee I Wyatt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1451 N 200 E Suite #250, Logan, UT 84341 Phone: 435-363-7853 Fax: 435-799-3598 |