| Sandra Lane, | |
|
955 Chambers St Ste 200, Ogden, UT 84403-4519 | |
| (801) 252-6774 | |
| (801) 515-0165 |
| Full Name | Sandra Lane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 955 Chambers St Ste 200, Ogden, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710587332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3852485-4405 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ryan K Anderson D P M P C | 7517999121 | 51 |
| Entity Name | Ryan K Anderson D P M P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639200215 PECOS PAC ID: 7517999121 Enrollment ID: O20050903000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Lane, 955 Chambers St Ste 200, Ogden, UT 84403-4519 Ph: (801) 252-6774 | Sandra Lane, 955 Chambers St Ste 200, Ogden, UT 84403-4519 Ph: (801) 252-6774 |
Miranda Mary Brennan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 385-405-6058 |
Mrs. Caroline Rebecca Schlieder, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 3400, Ogden, UT 84403 Phone: 801-387-3400 |
Trisha B Sears, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714 |
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110 |
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795 |
Carrie Hanni, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 |
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572 |