| Mr Jason Eugene Crook, NP | |
|
Rr 3 Box 3616, Myton, UT 84052-9732 | |
| (435) 640-2697 | |
| Not Available |
| Full Name | Mr Jason Eugene Crook |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | Rr 3 Box 3616, Myton, 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 |
|---|---|---|---|
| 1194161190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN001529 (Nevada) | Secondary |
| 363L00000X | Nurse Practitioner | 6993029-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jordan Valley Medical Center | West jordan, UT | Hospital |
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Santibanez Pac Utah | 1355785437 | 23 |
| Emergency Physicians Integrated Care Llc | 4284548116 | 187 |
| Utah Regional Hospitalists Llc | 4789807165 | 114 |
| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
| Entity Name | Emergency Physicians Integrated Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
| Entity Name | Ashley Valley Physician Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740482025 PECOS PAC ID: 4284683947 Enrollment ID: O20050119001166 |
| 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 | Utah Regional Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236 |
| Entity Name | Santibanez Aguirre Slc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609334911 PECOS PAC ID: 0345582383 Enrollment ID: O20190423002734 |
| Entity Name | Aspen Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184210031 PECOS PAC ID: 8527472018 Enrollment ID: O20210125000529 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
| Entity Name | Santibanez Pac Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881469484 PECOS PAC ID: 1355785437 Enrollment ID: O20240216000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Eugene Crook, NP Rr 3 Box 3616, Myton, UT 84052-9732 Ph: (435) 640-2697 | Mr Jason Eugene Crook, NP Rr 3 Box 3616, Myton, UT 84052-9732 Ph: (435) 640-2697 |