| Matthew R Lovelace, PA | |
|
173 N 400 W Ste C11, Orem, UT 84057-1909 | |
| (801) 802-7373 | |
| (801) 802-7733 |
| Full Name | Matthew R Lovelace |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 173 N 400 W Ste C11, 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 |
|---|---|---|---|
| 1194243964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10497014-1206 (Utah) | Primary |
| 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 | Ming-wei Wu Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699975144 PECOS PAC ID: 4284726159 Enrollment ID: O20171129001743 |
| Entity Name | Professional Wound Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598594483 PECOS PAC ID: 8921533183 Enrollment ID: O20241125001884 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew R Lovelace, PA 1055 N 500 W, Attn: Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Matthew R Lovelace, PA 173 N 400 W Ste C11, Orem, UT 84057-1909 Ph: (801) 802-7373 |
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 |
Jason Eatough, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 331 N 400 W, Orem, UT 84057 Phone: 801-714-3200 Fax: 801-714-3201 |