| Preston Gray, PA | |
|
2230 North University Parkway #1a, Provo, UT 84604 | |
| (801) 377-3413 | |
| Not Available |
| Full Name | Preston Gray |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 2230 North University Parkway #1a, 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 |
|---|---|---|---|
| 1386980597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8501262-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Intermountain Medical Center | Murray, UT | Hospital |
| Lone Peak Hospital | Draper, UT | Hospital |
| Intermountain Health Alta View Hospital | Sandy, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alta Canyon Spine Llc | 7315213527 | 2 |
| Entity Name | Alta Canyon Spine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477081412 PECOS PAC ID: 7315213527 Enrollment ID: O20171016001832 |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Gray, PA 2230 North University Parkway #1a, Provo, UT 84604 Ph: Not Available | Preston Gray, PA 2230 North University Parkway #1a, Provo, UT 84604 Ph: (801) 377-3413 |
Kelly Marie Daly-wolfe, PA-C, RDN Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W, Provo, UT 84601 Phone: 801-429-2000 |
John Harold Ball, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546 |
Devin W Christensen, PA-S2 Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1360 S 760 W, Provo, UT 84601 Phone: 801-471-7998 |
James Scott Arregui, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 503, Provo, UT 84604 Phone: 801-357-7081 |
Robert Rowe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 589 S State St, Provo, UT 84606 Phone: 801-429-2000 |
Michael Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-418-0941 |
Stacie Glass, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604 Phone: 801-357-0570 |