| Mr Thomas James Tervort, DNP, NP-C | |
|
1055 N 300 W Ste 410, Provo, UT 84604-3354 | |
| (801) 616-3675 | |
| (385) 225-9313 |
| Full Name | Mr Thomas James Tervort |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1055 N 300 W Ste 410, Provo, 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 |
|---|---|---|---|
| 1801382593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 8394281-4405 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neural Effects | 3072927094 | 2 |
| Entity Name | Utah Neurological Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316165947 PECOS PAC ID: 3375575582 Enrollment ID: O20050908000923 |
| Entity Name | Neural Effects |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194330118 PECOS PAC ID: 3072927094 Enrollment ID: O20210202001380 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas James Tervort, DNP, NP-C 1055 N 300 W Ste 410, Provo, UT 84604-3354 Ph: (801) 616-3675 | Mr Thomas James Tervort, DNP, NP-C 1055 N 300 W Ste 410, Provo, UT 84604-3354 Ph: (801) 616-3675 |
Sharla Morgan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-356-1300 Fax: 801-356-1304 | |
Neil Peterson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Spencer W Kimball Tower Bldg Kmbl, Provo, UT 84602 Phone: 801-422-4893 Fax: 801-422-4893 | |
Merilee Jacobson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 212, Provo, UT 84604 Phone: 801-374-2362 | |
Ashley Saunders, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 Fax: 801-812-5034 | |
Mr. Michael Frank Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811 | |
Crystal C Huffaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W, Ste 211, Building C, Provo, UT 84604 Phone: 801-357-7327 Fax: 801-375-8860 | |
Connie Denise Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606 Phone: 801-877-5801 Fax: 801-877-5802 |