Mr Michael Clark, FNP-C | |
317 E 100 N, Price, UT 84501-2504 | |
(435) 637-5061 | |
Not Available |
Full Name | Mr Michael Clark |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 317 E 100 N, Price, 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 |
---|---|---|---|
1386170348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 7198090-3102 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 7198090-4405 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Castleview Physician Practice, Llc | 6305995598 | 18 |
Entity Name | Castleview Physician Practice, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013364884 PECOS PAC ID: 6305995598 Enrollment ID: O20090518000607 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Clark, FNP-C 317 E 100 N, Price, UT 84501-2504 Ph: () - | Mr Michael Clark, FNP-C 317 E 100 N, Price, UT 84501-2504 Ph: (435) 637-5061 |
Samantha Jacquelyn Mclean, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 E 100 N, Price, UT 84501 Phone: 435-637-5061 | |
Mrs. Danielle Howa Pendergrass, DNP, APRN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 S 600 E, Suite B, Price, UT 84501 Phone: 435-637-0313 Fax: 435-637-0317 | |
Mrs. Jennifer Rose Benson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 S Fairground Rd, Price, UT 84501 Phone: 435-636-3739 | |
Mrs. Connie Kim Quinton, APRN MSN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 590 E 100 N Ste 6, Price, UT 84501 Phone: 435-613-9466 Fax: 435-613-9469 | |
Donna Mathis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 N Hospital Dr, Ste 3, Price, UT 84501 Phone: 435-637-6348 Fax: 435-637-6422 | |
David K Mcomber, APRN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 N Fairgrounds Rd Ste 2, Price, UT 84501 Phone: 435-613-0733 Fax: 435-613-0732 | |
Mr. Cris Ronald Chamberlain, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 N Hospital Dr Ste 5, Price, UT 84501 Phone: 435-637-4590 Fax: 435-637-4598 |