| Matthew Pierce, PA-C | |
|
65 E Twin Peaks St, Midvale, UT 84047-1215 | |
| (801) 568-6700 | |
| Not Available |
| Full Name | Matthew Pierce |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 65 E Twin Peaks St, Midvale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588216824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12007788-1206 (Utah) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Salt Lake Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Pierce, PA-C 6060 S 2180 E, Holladay, UT 84121-1435 Ph: (443) 821-5552 | Matthew Pierce, PA-C 65 E Twin Peaks St, Midvale, UT 84047-1215 Ph: (801) 568-6700 |
David Figueroa, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |
Miss Nicole Marie Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7302 S Bingham Junction Blvd, Midvale, UT 84047 Phone: 801-442-5502 |
Lynn Don Falkner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |
Mr. Patrick Barde Lang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 South. State Street, Midvale, UT 84047 Phone: 801-213-9400 |
Wendy Marie Macey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |
Ms. Erin Lee Dame, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7171 S 420 E, Midvale, UT 84047 Phone: 617-930-9302 |
Brenda Espitia, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7651 S Main St, Midvale, UT 84047 Phone: 801-417-0131 |