| Robert Welch, PA-C | |
|
1055 N 500 W, Ste 112 Bldg C, Provo, UT 84604 | |
| (801) 812-4624 | |
| (801) 812-4699 |
| Full Name | Robert Welch |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1055 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649743196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13121909-1206 (Utah) | Primary |
| 363A00000X | Physician Assistant | PA2070 (Nevada) | Secondary |
| Entity Name | Revere Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Entity Name | University of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Entity Name | University of Utah Pediatric Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
| Entity Name | Compass Pain Clinic Utah LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235950064 PECOS PAC ID: 3072048289 Enrollment ID: O20241125004004 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Welch, PA-C 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Robert Welch, PA-C 1055 N 500 W, Ste 112 Bldg C, Provo, UT 84604 Ph: (801) 812-4624 |
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 |