Foothill Family Clinic - Medicare Primary Care in Salt Lake City, UT

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Foothill Family Clinic is a medicare enrolled primary clinic (Family Medicine) in Salt Lake City, Utah. The current practice location for Foothill Family Clinic is 2295 Foothill Dr, Salt Lake City, Utah. For appointments, you can reach them via phone at (801) 486-3021. The mailing address for Foothill Family Clinic is 2295 Foothill Dr, Salt Lake City, Utah and phone number is (801) 486-3021.

Foothill Family Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1407947005. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 486-3021.

Contact Information

Foothill Family Clinic
2295 Foothill Dr
Salt Lake City
UT 84109-4000
(801) 486-3021
(801) 485-6339

Map and Direction


Primary Care Clinic Profile

Full NameFoothill Family Clinic
SpecialityFamily Medicine
Location2295 Foothill Dr, Salt Lake City, Utah
Authorized Official Name and PositionDan C. Henry (AUTHORIZED OFFICIAL)
Authorized Official Contact8014863021
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Foothill Family Clinic
2295 Foothill Dr
Salt Lake City
UT 84109-4000

Ph: (801) 486-3021		Foothill Family Clinic
2295 Foothill Dr
Salt Lake City
UT 84109-4000

Ph: (801) 486-3021

NPI Details:

NPI Number1407947005
Provider Enumeration Date09/27/2006
Last Update Date09/15/2008

Medicare PECOS Information:

Medicare PECOS PAC ID9931003795
Medicare Enrollment IDO20031122000151

Medical Identifiers

Medical identifiers for Foothill Family Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407947005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Foothill Family Clinic acts as a billing entity for following providers:
Provider NameStephen D Wood
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1508881657
PECOS PAC ID: 2668376427
Enrollment ID: I20040817001357
Provider NameJames P Longe
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1093730129
PECOS PAC ID: 6103720966
Enrollment ID: I20040817001377
Provider NameJack A Taylor
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1467477505
PECOS PAC ID: 1759285513
Enrollment ID: I20040818000160
Provider NameSusan L Edwards
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992730139
PECOS PAC ID: 5294639068
Enrollment ID: I20040818000168
Provider NameDan C Henry
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1871528018
PECOS PAC ID: 0840194601
Enrollment ID: I20040818000176
Provider NameShane G Christensen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861427189
PECOS PAC ID: 6103720974
Enrollment ID: I20040818000187
Provider NameStephen D Coleman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891720124
PECOS PAC ID: 3476457243
Enrollment ID: I20040818000240
Provider NameBryan L Nelson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346265477
PECOS PAC ID: 4385548155
Enrollment ID: I20040818000251
Provider NameWesley J Lewis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013932144
PECOS PAC ID: 2567366321
Enrollment ID: I20040818000270
Provider NameRoss A Brunetti
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700811023
PECOS PAC ID: 7012811888
Enrollment ID: I20040818000287
Provider NameJohn E Witbeck
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972522316
PECOS PAC ID: 0749184505
Enrollment ID: I20040818000292
Provider NameJames T Peterson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316962442
PECOS PAC ID: 0749184513
Enrollment ID: I20040818000312
Provider NameThomas K Conner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780619023
PECOS PAC ID: 1557334489
Enrollment ID: I20040818000333
Provider NameGina B Cox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396770533
PECOS PAC ID: 7618940552
Enrollment ID: I20040818000371
Provider NameDorothy L Williams
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1619992708
PECOS PAC ID: 3173561669
Enrollment ID: I20050425000867
Provider NameShana K Eborn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780615658
PECOS PAC ID: 5890776561
Enrollment ID: I20050729000238
Provider NameAlexander Clark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578772109
PECOS PAC ID: 0446344493
Enrollment ID: I20070920000737
Provider NameHeather Jackson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023237088
PECOS PAC ID: 9436210556
Enrollment ID: I20081209000069
Provider NameJacqueline L Rohrer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225296387
PECOS PAC ID: 9335306794
Enrollment ID: I20120214000099
Provider NameJose Azarcon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285627455
PECOS PAC ID: 8628977022
Enrollment ID: I20121026000076
Provider NameJoseph Sterling Atkin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932428232
PECOS PAC ID: 7315106648
Enrollment ID: I20140528001613
Provider NameBenjamin A Thomas
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1043659055
PECOS PAC ID: 9638460843
Enrollment ID: I20160620000284
Provider NameHolly Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609239946
PECOS PAC ID: 8527331412
Enrollment ID: I20170828003603
Provider NameJoanna Ruth Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871031708
PECOS PAC ID: 7719262716
Enrollment ID: I20190225000282
Provider NameJessica Wilkinson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093179160
PECOS PAC ID: 2860788007
Enrollment ID: I20190621000370
Provider NameDaniel Mark Payne
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952861288
PECOS PAC ID: 5496171613
Enrollment ID: I20200819001158
Provider NameTerrell Lyles Glenn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972990174
PECOS PAC ID: 8820394976
Enrollment ID: I20201130000633
Provider NameLondon Teri Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902416795
PECOS PAC ID: 4183035835
Enrollment ID: I20201201002014
Provider NameJordan Blake Butterfield
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1336638485
PECOS PAC ID: 6305249400
Enrollment ID: I20210727003325
Provider NameRachelle Huber Dustin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851064810
PECOS PAC ID: 7214334036
Enrollment ID: I20210921003720
Provider NameMadeleine Elise Rupert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386340115
PECOS PAC ID: 7719350594
Enrollment ID: I20230224002057
Provider NameMichael Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093344905
PECOS PAC ID: 7517357494
Enrollment ID: I20230727002450

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.