| Ryan White, | |
|
249 E Tabernacle St Ste 104, St George, UT 84770-2951 | |
| (435) 625-1159 | |
| (435) 319-8690 |
| Full Name | Ryan White |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 249 E Tabernacle St Ste 104, St George, 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 |
|---|---|---|---|
| 1770039356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7996304-4405 (Utah) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 7996304-4405 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaver Valley Hospital | Beaver, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trauma Treatment And Counseling Llc | 3476900796 | 4 |
| Entity Name | Beaver Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770570202 PECOS PAC ID: 2365352036 Enrollment ID: O20050714000791 |
| Entity Name | Beaver Valley Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1174979108 PECOS PAC ID: 2769376326 Enrollment ID: O20160525000523 |
| Entity Name | Trauma Treatment & Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881353290 PECOS PAC ID: 3476900796 Enrollment ID: O20231108001955 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan White, 249 E Tabernacle St Ste 104, St George, UT 84770-2951 Ph: (435) 625-1159 | Ryan White, 249 E Tabernacle St Ste 104, St George, UT 84770-2951 Ph: (435) 625-1159 |
Mr. Brooks Wiley, FPMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 N 1680 E Ste H1, St George, UT 84790 Phone: 435-652-1897 | |
Beau Jay Kunzler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 S Medical Center Dr, St George, UT 84790 Phone: 435-251-4900 | |
Gregory Sorensen, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3065 E Holly Dr, St George, UT 84790 Phone: 603-986-3397 | |
Brookanne J Mickelson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 N 200 E Ste 2a, St George, UT 84770 Phone: 435-688-7246 Fax: 435-688-1363 | |
Heather Rose Bandle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2162 E 2800 S, St George, UT 84790 Phone: 435-268-2363 Fax: 435-215-2563 | |
Christopher Ray Andrew, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 | |
Carole Ann Grady, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 595 S Bluff St, St George, UT 84770 Phone: 435-674-9933 |