| Susan Lloyd Jellum, APRN | |
|
5171 S Cottonwood St # 305, Murray, UT 84107-5704 | |
| (801) 507-9310 | |
| Not Available |
| Full Name | Susan Lloyd Jellum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 5171 S Cottonwood St # 305, Murray, 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 |
|---|---|---|---|
| 1891422689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 206231-4405 (Utah) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 206231-3102 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Homecare Home Health Salt Lake | South jordan, UT | Home health agency |
| Intermountain Health Intermountain Medical Center | Murray, UT | Hospital |
| Intermountain Health Lutheran Hospital | Golden, CO | Hospital |
| Intermountain Health Park City Hospital | Park city, UT | Hospital |
| Intermountain Health Platte Valley Hospital | Brighton, CO | Hospital |
| Intermountain Health Heber Valley Hospital | Heber city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Platte Valley Medical Group Llc | 5890054100 | 120 |
| Ihc Health Services Inc | 1850209420 | 3948 |
| Entity Name | Intermountain Medical Group Denver LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Entity Name | Platte Valley Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922812593 PECOS PAC ID: 5890054100 Enrollment ID: O20180112000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Lloyd Jellum, APRN 538 N 750 E, Bountiful, UT 84010-2816 Ph: (480) 684-0550 | Susan Lloyd Jellum, APRN 5171 S Cottonwood St # 305, Murray, UT 84107-5704 Ph: (801) 507-9310 |
Michael Christensen, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5802 S 900 E Unit 1, Murray, UT 84121 Phone: 480-868-9650 |
Kristy Bentley, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St, Murray, UT 84107 Phone: 801-507-9800 |
Alisa F Corry, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 210, Murray, UT 84107 Phone: 801-507-3380 |
Ms. Melisa S Steele, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5323 S Woodrow St Ste 201, Murray, UT 84107 Phone: 385-722-9140 Fax: 385-722-9159 |
Patricia Hartley-clanton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5121 Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 Fax: 801-442-0643 |
Laura B Hunt, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St, Ste 320, Murray, UT 84107 Phone: 801-507-3380 |
Jason Reid Lesser, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 610, Murray, UT 84107 Phone: 801-507-3630 |