| Shannon Peck, PA-C | |
|
1159 E 200 N, #250, American Fork, UT 84003-2022 | |
| (801) 855-2980 | |
| Not Available |
| Full Name | Shannon Peck |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 1159 E 200 N, American Fork, 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 |
|---|---|---|---|
| 1346531928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7890710-1206 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Keith Mark Gross Md Inc | 4587712500 | 4 |
| Entity Name | Keith Mark Gross MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871658278 PECOS PAC ID: 4587712500 Enrollment ID: O20090501000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Peck, PA-C 1159 E 200 N, #250, American Fork, UT 84003-2022 Ph: (801) 855-2980 | Shannon Peck, PA-C 1159 E 200 N, #250, American Fork, UT 84003-2022 Ph: (801) 855-2980 |
Lexis Amanda Cooper, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1248 E 90 N # 300, American Fork, UT 84003 Phone: 801-756-9635 |
Andrew Benjamin Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1184 E 80 N, American Fork, UT 84003 Phone: 801-763-3885 Fax: 801-763-3887 |
James Nguyen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 98 N 1100 E Ste 203, American Fork, UT 84003 Phone: 801-492-2445 |
Stephen A Loper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1159 E 200 N Ste 300, American Fork, UT 84003 Phone: 801-753-4712 |
Ms. Marla Morillo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1159 E 200 N Ste 250, American Fork, UT 84003 Phone: 801-855-2980 |
Dawn Thi Thuy Ngo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1175 E 50 S Ste 221, American Fork, UT 84003 Phone: 801-772-0775 Fax: 801-772-1941 |
Jason T Montgomery, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 476 N 900 W, Suite C, American Fork, UT 84003 Phone: 801-492-1611 Fax: 801-492-1480 |