| Mr Donald R Hastie, BC-FNP | |
|
7611 Jordan Landing Blvd, 200, West Jordan, UT 84084-5610 | |
| (801) 260-1919 | |
| (801) 260-1441 |
| Full Name | Mr Donald R Hastie |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 7611 Jordan Landing Blvd, West Jordan, 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 |
|---|---|---|---|
| 1619900339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN000990 (Nevada) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2047224405 (Utah) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mod-doc Inc | 6305379215 | 2 |
| Entity Name | Mod-doc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801627096 PECOS PAC ID: 6305379215 Enrollment ID: O20241031000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Donald R Hastie, BC-FNP 460 W 2600 S, Bountiful, UT 84010-7716 Ph: (801) 660-8687 | Mr Donald R Hastie, BC-FNP 7611 Jordan Landing Blvd, 200, West Jordan, UT 84084-5610 Ph: (801) 260-1919 |
Peggy Anne Jerome, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8537 Redwood Rd, Suite A - Main Level, West Jordan, UT 84088 Phone: 801-568-2898 | |
Megan Bliss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677 | |
Karty Dormera, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3895 W 7800 S Ste 100, West Jordan, UT 84088 Phone: 801-280-7774 Fax: 801-748-2790 | |
Kim Sundstrom, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9289 S Redwood Rd Ste C, West Jordan, UT 84088 Phone: 801-568-2898 | |
Bari Michelle King, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3570 W 9000 S, Suite, 100, West Jordan, UT 84088 Phone: 801-569-1999 Fax: 801-569-2001 | |
Elyse E Lake, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677 Fax: 801-282-2050 | |
Ms. Barbara Patterson Reineke, FNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1575 W 7000 S, West Jordan, UT 84084 Phone: 801-569-9133 Fax: 801-569-9103 |