| Robert Ivan Wollenzien, | |
|
555 West Sr 164, Salem, UT 84653 | |
| (801) 465-4813 | |
| (801) 812-5433 |
| Full Name | Robert Ivan Wollenzien |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 555 West Sr 164, Salem, 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 |
|---|---|---|---|
| 1831674092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10990701-1206 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Utah Clinic Pc | 7517868508 | 391 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Ivan Wollenzien, 1055 N 500 W, Attn. Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Robert Ivan Wollenzien, 555 West Sr 164, Salem, UT 84653 Ph: (801) 465-4813 |
Robert Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4896 | |
Shawn Stephen Hill, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4813 Fax: 801-812-5433 | |
Jonathan D Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4813 Fax: 801-812-5433 | |
Whitney Mccoy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4896 Fax: 801-465-3267 | |
Tye Frank Johnson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4896 Fax: 801-465-3267 | |
Mr. Aaron Gregory Fausett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 164, Salem, UT 84653 Phone: 801-465-4896 Fax: 801-465-3267 | |
Seth M Grisham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 164, Salem, UT 84653 Phone: 801-465-4896 |