| Maysie Jones Van Leeuwen, | |
| 
					870 E 9400 S Ste 109, Sandy, UT 84094-3687  | |
| (385) 271-9720 | |
| (800) 455-1391 | 
| Full Name | Maysie Jones Van Leeuwen | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 870 E 9400 S Ste 109, Sandy, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376204222 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary | 
| Entity Name | Peak Allergy | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508450412 PECOS PAC ID: 0042628919 Enrollment ID: O20240727000649  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maysie Jones Van Leeuwen, 870 E 9400 S Ste 109, Sandy, UT 84094-3687 Ph: (385) 271-9720  | Maysie Jones Van Leeuwen, 870 E 9400 S Ste 109, Sandy, UT 84094-3687 Ph: (385) 271-9720  | 
Wei Ting Chao,  Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 385 W 9000 S, Sandy, UT 84070 Phone: 801-562-5200  | |
Jacob Thomas Hendricks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7998 S 1300 E, Sandy, UT 84094 Phone: 801-255-2000 Fax: 801-352-7185  | |
Daniela Alejandra Zuniga Salazar, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7410 S Creek Rd Ste 100, Sandy, UT 84093 Phone: 801-816-1010  | |
Bryan A Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9844 S 1300 E, Ste 275, Sandy, UT 84094 Phone: 801-571-7061 Fax: 801-571-9277  | |
Desiree Deon Clark, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9600 S 1300 E Ste 240, Sandy, UT 84094 Phone: 801-965-3600  | |
Alexander James Dalley,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 1403 E Sego Lily Dr, Sandy, UT 84092 Phone: 801-265-2212  | |
Megan Lancaster, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 7998 S 1300 E, Sandy, UT 84094 Phone: 801-255-2000 Fax: 801-325-7185  |