| Martha Fern Southwick, NP | |
|
8541 S Redwood Rd Ste C2, West Jordan, UT 84088 | |
| (801) 432-7712 | |
| (866) 817-1629 |
| Full Name | Martha Fern Southwick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 8541 S Redwood Rd Ste C2, West Jordan, 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 |
|---|---|---|---|
| 1568685550 | NPI | - | NPPES |
| 1017129 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2000204405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverton Hospital | Riverton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mindful Healing Llc | 6002169901 | 2 |
| Entity Name | Mindful Healing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346732765 PECOS PAC ID: 6002169901 Enrollment ID: O20190821001903 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Fern Southwick, NP 1947 Kate Cv, West Jordan, UT 84088-6631 Ph: (801) 561-2280 | Martha Fern Southwick, NP 8541 S Redwood Rd Ste C2, West Jordan, UT 84088 Ph: (801) 432-7712 |
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 |