| Starlene Rose, | |
|
602 E Fort Union Blvd, Midvale, UT 84047-2216 | |
| (801) 313-1010 | |
| Not Available |
| Full Name | Starlene Rose |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 602 E Fort Union Blvd, Midvale, 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 |
|---|---|---|---|
| 1083276232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9029106-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Health, Inc | Holladay, UT | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diabetic Foot Solutions | 5496129017 | 2 |
| Entity Name | Brian J Williams Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255502050 PECOS PAC ID: 4880659531 Enrollment ID: O20041122001281 |
| Entity Name | Provas Of Salt Lake Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407410244 PECOS PAC ID: 1850620303 Enrollment ID: O20190909001007 |
| Entity Name | Diabetic Foot Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366158602 PECOS PAC ID: 5496129017 Enrollment ID: O20230322002691 |
| Mailing Address | Practice Location Address |
|---|---|
| Starlene Rose, 6113 S Azure Meadow Dr, Taylorsville, UT 84129-8118 Ph: (801) 313-1010 | Starlene Rose, 602 E Fort Union Blvd, Midvale, UT 84047-2216 Ph: (801) 313-1010 |
Shelley Bradfield Cheever, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7722 S 1130 E, Midvale, UT 84047 Phone: 801-694-5700 | |
Lynn Marie Mcmillan, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047 Phone: 801-233-4400 | |
Ms. Linda L. Decker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1225 Fort Union Blvd, Suite 215, Midvale, UT 84047 Phone: 801-233-4200 Fax: 801-233-4239 | |
Rachel Ivie Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 167 W Princeton Dr, Midvale, UT 84047 Phone: 385-219-1090 | |
Julia Marie Palmieri, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 E 6850 S, Midvale, UT 84047 Phone: 801-568-6700 | |
Cassandra Renee Debenham, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7661 S 700 E, Midvale, UT 84047 Phone: 801-385-5243 |