| Wade Hollingshead, FNP | |
|
1059 N 100 W, Beaver, UT 84713-1690 | |
| (435) 438-7280 | |
| (435) 438-7210 |
| Full Name | Wade Hollingshead |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 1059 N 100 W, Beaver, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962438895 | NPI | - | NPPES |
| 4813074-4408 | Other | UT | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4813074-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaver Valley Hospital | Beaver, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaver Medical, Llc | 2365352036 | 7 |
| Entity Name | Beaver Valley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144436429 PECOS PAC ID: 2769376326 Enrollment ID: O20040927000930 |
| Entity Name | Beaver Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770570202 PECOS PAC ID: 2365352036 Enrollment ID: O20050714000791 |
| Entity Name | Beaver Valley Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1174979108 PECOS PAC ID: 2769376326 Enrollment ID: O20160525000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Hollingshead, FNP Po Box 1690, Beaver, UT 84713-1690 Ph: (435) 438-7280 | Wade Hollingshead, FNP 1059 N 100 W, Beaver, UT 84713-1690 Ph: (435) 438-7280 |
Rebecca S Rasmusson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1059 N 100 W, Beaver, UT 84713 Phone: 435-438-7280 Fax: 435-438-7210 | |
Hayley Davis-bartlett, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 E 1800 N, Beaver, UT 84713 Phone: 703-576-7223 | |
Garland James Walker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1059 N 100 W, Beaver, UT 84713 Phone: 435-438-7280 | |
Joan Yardley, A.P. R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1059 N 100 W, Beaver, UT 84713 Phone: 435-438-7280 | |
Lindsay Ann Cheney, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1059 N 100 W, Beaver, UT 84713 Phone: 435-438-7280 Fax: 435-438-7210 |