| Naomi Landry, PA-C | |
|
517 W 100 N Ste 110, Providence, UT 84332-9826 | |
| (435) 755-6075 | |
| Not Available |
| Full Name | Naomi Landry |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 517 W 100 N Ste 110, Providence, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851916464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11770693-1206 (Utah) | Primary |
| Entity Name | Bear Lake Community Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689754475 PECOS PAC ID: 9032020037 Enrollment ID: O20040110000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Naomi Landry, PA-C 517 W 100 N Ste 110, Providence, UT 84332-9826 Ph: Not Available | Naomi Landry, PA-C 517 W 100 N Ste 110, Providence, UT 84332-9826 Ph: (435) 755-6075 |
Heather B Allred, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 517 W 100 N Ste 103, Providence, UT 84332 Phone: 435-554-8442 Fax: 435-500-9167 |
Amy Fisher, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 286 N Gateway Dr Ste 201, Providence, UT 84332 Phone: 435-932-6125 |
Paul D. Mcomber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6075 Fax: 435-374-0502 |
Alexander Nathan Gerber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 169 N Gateway Dr, Providence, UT 84332 Phone: 435-565-6043 |
Jalen Mon Tiev, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 412 Meadow Ln, Providence, UT 84332 Phone: 435-363-6400 |
Mrs. Candice Elizabeth Macari, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 169 N Gateway Dr Ste 175, Providence, UT 84332 Phone: 435-565-6043 Fax: 435-220-2030 |
Matthew Stephen Morrell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 595 W 465 N, Providence, UT 84332 Phone: 385-238-3900 Fax: 385-238-3901 |