| Aspen Physician Group Llc | |
|
1217 E 1650 S Bountiful UT 84010-1586 | |
| (801) 997-1276 | |
| Not Available |
| Full Name | Aspen Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1217 E 1650 S, Bountiful, Utah |
| Authorized Official Name and Position | Derek Collette (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8019971276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Physician Group Llc Po Box 1243 Provo UT 84603-1243 Ph: (801) 997-1276 | Aspen Physician Group Llc 1217 E 1650 S Bountiful UT 84010-1586 Ph: (801) 997-1276 |
| NPI Number | 1184210031 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/22/2023 |
| Medicare PECOS PAC ID | 8527472018 |
|---|---|
| Medicare Enrollment ID | O20210125000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184210031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | George Samuel Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598853079 PECOS PAC ID: 8426158213 Enrollment ID: I20070709000512 |
| Provider Name | Hannah Sant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578132734 PECOS PAC ID: 0547650285 Enrollment ID: I20211210002438 |
| Provider Name | Joshua Allen Halls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336849561 PECOS PAC ID: 9537533955 Enrollment ID: I20230324001522 |
| Provider Name | Stephanie Naas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891001897 PECOS PAC ID: 4082809660 Enrollment ID: I20230623001057 |
Bryan Bartholomew Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Medical Dr, Suite 200, Bountiful, UT 84010 Phone: 801-294-9333 Fax: 801-299-7811 | |
Eln Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 Orchard Dr Ste 103, Bountiful, UT 84010 Phone: 866-612-7449 | |
Holbrook Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 E 500 S, Bountiful, UT 84010 Phone: 801-299-4800 | |
Joe R Nielsen Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Medical Dr, D-200, Bountiful, UT 84010 Phone: 801-292-6277 Fax: 801-292-1108 | |
Bountiful Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 W 400 N Ste 200b, Bountiful, UT 84010 Phone: 801-298-3812 Fax: 877-450-7813 | |
Wade Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Dr Ste 300, Bountiful, UT 84010 Phone: 801-292-1422 Fax: 801-296-0436 |