| Sophia Elaine Perez, FNP | |
|
355 N Main St, Kanab, UT 84741-3260 | |
| (435) 644-4100 | |
| Not Available |
| Full Name | Sophia Elaine Perez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 355 N Main St, Kanab, 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 |
|---|---|---|---|
| 1205613056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10712354-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kane County Hospital | Kanab, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Utah Clinic Pc | 7517868508 | 388 |
| Entity Name | Central Utah Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Entity Name | Kane County Human Resource Special Service District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1215001037 PECOS PAC ID: 5092603316 Enrollment ID: O20090727000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Elaine Perez, FNP 1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Sophia Elaine Perez, FNP 355 N Main St, Kanab, UT 84741-3260 Ph: (435) 644-4100 |
Christa J Werlinger, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 | |
Jill Glazier Blasdell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 329 S 350 E Ste 4, Kanab, UT 84741 Phone: 435-644-5626 | |
Joanne Marie Palmer, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-648-2775 Fax: 435-648-2779 | |
Reggie Michael Gillins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 |