| Martin H Memmott, PA | |
|
960 W 800 N, Orem, UT 84057-3626 | |
| (801) 226-6184 | |
| Not Available |
| Full Name | Martin H Memmott |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 960 W 800 N, Orem, 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 |
|---|---|---|---|
| 1972780534 | NPI | - | NPPES |
| 500690161 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 6853842-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lone Peak Hospital | Draper, UT | Hospital |
| Intermountain Health Alta View Hospital | Sandy, UT | Hospital |
| Intermountain Health Riverton Hospital | Riverton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Spine And Pain Pllc | 4183966278 | 9 |
| Entity Name | Revere Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Entity Name | Advanced Spine and Pain PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437627080 PECOS PAC ID: 4183966278 Enrollment ID: O20190419000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin H Memmott, PA 960 W 800 N, Orem, UT 84057-3626 Ph: (801) 226-6184 | Martin H Memmott, PA 960 W 800 N, Orem, UT 84057-3626 Ph: (801) 226-6184 |
Mrs. Chelsea Genna Marshall, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 E 770 N, Orem, UT 84097 Phone: 801-724-9840 Fax: 801-235-1509 |
Allison Nicole Sipple, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 W University Pkwy, Orem, UT 84058 Phone: 801-671-5033 |
Joshua D Arnold, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 E 770 N, Orem, UT 84097 Phone: 801-724-9840 Fax: 801-235-1509 |
Ashley Harward, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 173 N 400 W Ste C11, Orem, UT 84057 Phone: 801-802-7373 Fax: 801-802-7733 |
Scott West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 552 W 800 N, Orem, UT 84057 Phone: 801-764-0200 Fax: 801-764-0206 |
Albert Pope, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 552 W 800 N, Orem, UT 84057 Phone: 801-764-0200 Fax: 801-764-0206 |
Ted Joseph Heap, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1443 W 800 N Ste 302, Orem, UT 84057 Phone: 801-655-0015 |