| Max Mitchell, | |
|
112 W 770 N, Santaquin, UT 84655-7913 | |
| (801) 754-3654 | |
| Not Available |
| Full Name | Max Mitchell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 112 W 770 N, Santaquin, 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 |
|---|---|---|---|
| 1174995500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3102637-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Homecare Home Health Salt Lake | South jordan, UT | Home health agency |
| Utah Valley Hospital | Provo, UT | Hospital |
| American Fork Hospital | American fork, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Max Mitchell, 112 W 770 N, Santaquin, UT 84655-7913 Ph: (801) 754-3654 | Max Mitchell, 112 W 770 N, Santaquin, UT 84655-7913 Ph: (801) 754-3654 |
Jennifer Lynne Trinidad, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 548 Stone Way, Santaquin, UT 84655 Phone: 951-217-9297 | |
Irina M. Campbell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 875 E 230 N, Santaquin, UT 84655 Phone: 801-592-4451 |