Marco Antonio Rudas-garcia, | |
1433 N 1200 W, Orem, UT 84057-2449 | |
(801) 655-5450 | |
(385) 225-9327 |
Full Name | Marco Antonio Rudas-garcia |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1433 N 1200 W, Orem, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386413409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9819736-4405 (Utah) | Primary |
Entity Name | Jacobs Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407573850 PECOS PAC ID: 0749721702 Enrollment ID: O20240918002801 |
Mailing Address | Practice Location Address |
---|---|
Marco Antonio Rudas-garcia, 1929 W 2295 S, Woods Cross, UT 84087-2600 Ph: (385) 416-7071 | Marco Antonio Rudas-garcia, 1433 N 1200 W, Orem, UT 84057-2449 Ph: (801) 655-5450 |
Jorge Arturo Delgadillo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W 800 N, Orem, UT 84057 Phone: 801-714-6000 | |
Sarah Wolfe, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1086 N 1200 W, Orem, UT 84057 Phone: 801-226-5246 | |
Jaycee Lyn Fausett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 153 N 400 W, St B-6, Orem, UT 84057 Phone: 801-921-2260 | |
Caitlin Aubrey Bozek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 E 800 N Ste 101, Orem, UT 84097 Phone: 801-742-8439 | |
Amanda Lee Jones, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 W 400 N Ste 4, Orem, UT 84057 Phone: 801-714-3388 | |
Abby Juvan Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1790 N State St, Orem, UT 84057 Phone: 801-224-8255 | |
Mrs. L. Allison Lebaron, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 W 800 N, Suite 220, Orem, UT 84057 Phone: 801-221-8811 |