| Michael Anderson, PA | |
|
1055 N 500 W Ste 101, Provo, UT 84604-3305 | |
| (801) 373-4366 | |
| (801) 418-0941 |
| Full Name | Michael Anderson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 1055 N 500 W Ste 101, Provo, 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 |
|---|---|---|---|
| 1023569241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10117275-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Utah Valley Hospital | Provo, UT | Hospital |
| Intermountain Health Sanpete Valley Hospital | Mount pleasant, UT | Hospital |
| American Fork Hospital | American fork, UT | Hospital |
| Intermountain Health Spanish Fork Hospital | Spanish fork, UT | Hospital |
| Intermountain Health Intermountain Medical Center | Murray, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3948 |
| 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 |
|---|---|
| Michael Anderson, PA Po Box 27128, Attn: Credentialing, Salt Lake City, UT 84127-0128 Ph: (801) 357-4600 | Michael Anderson, PA 1055 N 500 W Ste 101, Provo, UT 84604-3305 Ph: (801) 373-4366 |
Kelly Marie Daly-wolfe, PA-C, RDN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W, Provo, UT 84601 Phone: 801-429-2000 |
John Harold Ball, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546 |
Devin W Christensen, PA-S2 Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1360 S 760 W, Provo, UT 84601 Phone: 801-471-7998 |
James Scott Arregui, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 503, Provo, UT 84604 Phone: 801-357-7081 |
Robert Rowe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 S State St, Provo, UT 84606 Phone: 801-429-2000 |
Stacie Glass, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604 Phone: 801-357-0570 |
Lauren Victoria Brown, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1800 Novell Pl, Provo, UT 84606 Phone: 801-200-6741 |