| Mr Matthew M Yates, PA-C | |
|
7321 11th St, 75 Mdg / Sgopf, Hill Afb, UT 84056-5012 | |
| (801) 586-9710 | |
| Not Available |
| Full Name | Mr Matthew M Yates |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 7321 11th St, Hill Afb, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538157540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1053660 (Nebraska) | Primary |
| Entity Name | Minor Med PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093827511 PECOS PAC ID: 6709897580 Enrollment ID: O20190912001027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew M Yates, PA-C 2007 Ryan Cir, Uintah, UT 84403-4995 Ph: Not Available | Mr Matthew M Yates, PA-C 7321 11th St, 75 Mdg / Sgopf, Hill Afb, UT 84056-5012 Ph: (801) 586-9710 |
Shelby Maryann Moderow, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7321 Balmer St # 570, Hill Afb, UT 84056 Phone: 801-586-2273 |
Mayra Solorzano, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7321 Balmer St Bldg 570, Hill Afb, UT 84056 Phone: 801-586-2273 |
Thomas Earl Schneider, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7321 Balmer St Bldg 570, Hill Afb, UT 84056 Phone: 801-777-5285 |
Mr. Daniel D Buhler, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7321 Balmer St Bldg 570, Hill Afb, UT 84056 Phone: 801-775-3884 |
Chloe Marie Mager, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7321 Balmer St, Hill Afb, UT 84056 Phone: 801-728-2600 |