| Michael G Henderson, PA-C | |
|
450 Williams Way, Moab, UT 84532-2185 | |
| (435) 719-3500 | |
| Not Available |
| Full Name | Michael G Henderson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 450 Williams Way, Moab, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265423594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 288380-1206 (Utah) | Primary |
| 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 | Wayne Community Health Centers, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093816282 PECOS PAC ID: 1254242233 Enrollment ID: O20040113000649 |
| Entity Name | Physician Group of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| 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 |
| Entity Name | Gregory Iverson Family Medicine, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720379936 PECOS PAC ID: 4284804923 Enrollment ID: O20110907000943 |
| Entity Name | Utah Regional Hospitalists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael G Henderson, PA-C 500 S Maple St, Waconia, MN 55387-1791 Ph: (952) 442-2191 | Michael G Henderson, PA-C 450 Williams Way, Moab, UT 84532-2185 Ph: (435) 719-3500 |
Mr. Timothy Joseph Cristman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 476 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |
Mr. Luke Allan Counterman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |
Ms. Hannah Elizabeth Riley, PA-C, MPH Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |
Lauren Wells, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5555 Old Airport Rd, Moab, UT 84532 Phone: 435-419-9210 Fax: 435-216-3020 |
Elizabeth Lazier Holtby, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |
Desiree Lee Westfall, PA-C, MPH Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-719-3500 |
Eve Maher-young, P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 38 W 300 S, Moab, UT 84532 Phone: 435-259-7121 Fax: 435-259-3112 |