| Russell B Pincock, NP-C | |
|
910 S 300 W, Blanding, UT 84511-3921 | |
| (435) 651-3700 | |
| (435) 678-0608 |
| Full Name | Russell B Pincock |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 910 S 300 W, Blanding, 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 |
|---|---|---|---|
| 1356636443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 49201274405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blue Mountain Hospital | Blanding, UT | Hospital |
| San Juan Hospital | Monticello, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Navajo Health System Incorporated | 1658275649 | 45 |
| Entity Name | Utah Navajo Health System Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811991151 PECOS PAC ID: 1658275649 Enrollment ID: O20031121000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell B Pincock, NP-C Po Box 130, Montezuma Creek, UT 84534-0130 Ph: () - | Russell B Pincock, NP-C 910 S 300 W, Blanding, UT 84511-3921 Ph: (435) 651-3700 |
Emmy Patterson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 N Main St, Blanding, UT 84511 Phone: 435-270-0271 | |
Cortney Anne Shumway, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 S 300 W, Blanding, UT 84511 Phone: 435-678-0700 | |
Darcie Lyn Chamberlain, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1149 N Grayson Pkwy, Blanding, UT 84511 Phone: 435-979-5095 | |
Dashelle Holliday, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 802 S 200 W, Blanding, UT 84511 Phone: 435-678-3993 Fax: 435-678-3992 | |
Kristopher Hiatt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 735 S 200 W, Blanding, UT 84511 Phone: 435-678-2254 |