| Mr Kirk Russell Waldron, FNP-C | |
|
770 S 200 E Ste 102, Brigham City, UT 84302-3387 | |
| (801) 513-9652 | |
| Not Available |
| Full Name | Mr Kirk Russell Waldron |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 770 S 200 E Ste 102, Brigham City, 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 |
|---|---|---|---|
| 1215599105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7301549-8900 (Utah) | Primary |
| Entity Name | Advantage Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053861567 PECOS PAC ID: 4981971207 Enrollment ID: O20170517000340 |
| Entity Name | Beecon Recovery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437780673 PECOS PAC ID: 5799149910 Enrollment ID: O20231109002083 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kirk Russell Waldron, FNP-C 770 S 200 E Ste 102, Brigham City, UT 84302-3387 Ph: (801) 513-9652 | Mr Kirk Russell Waldron, FNP-C 770 S 200 E Ste 102, Brigham City, UT 84302-3387 Ph: (801) 513-9652 |
Justin Michael Woodruff, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 663 Parker Lane, Brigham City, UT 84302 Phone: 435-734-9449 | |
Miranda Buttars, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 S Medical Dr, Brigham City, UT 84302 Phone: 435-310-5800 | |
Lindee P Allen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W Hospital Rd, Brigham City, UT 84302 Phone: 435-734-2041 Fax: 435-723-8028 | |
Lynn C Larsen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 984 Medical Dr Ste 1, Brigham City, UT 84302 Phone: 435-723-5248 Fax: 435-723-5240 | |
Julie C. Child, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 South Medical Drive, Ste 101, Brigham City, UT 84302 Phone: 435-538-1733 Fax: 435-538-1752 | |
Kelsey Bywater, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 984 Medical Dr Ste 1, Brigham City, UT 84302 Phone: 435-723-5248 Fax: 877-395-5866 |