| Jupiter Medical I Llc | |
|
1784 Uinta Way Unit E2 Park City UT 84098-7685 | |
| (435) 604-0160 | |
| (435) 731-8328 |
| Full Name | Jupiter Medical I Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1784 Uinta Way Unit E2, Park City, Utah |
| Authorized Official Name and Position | Bryan Knepper (OWNER) |
| Authorized Official Contact | 6175713680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Medical I Llc 21 White Hill Rd Cold Spring Harbor NY 11724-1211 Ph: () - | Jupiter Medical I Llc 1784 Uinta Way Unit E2 Park City UT 84098-7685 Ph: (435) 604-0160 |
| NPI Number | 1104346543 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 06/27/2017 |
| Medicare PECOS PAC ID | 4486920568 |
|---|---|
| Medicare Enrollment ID | O20171017001896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104346543 | NPI | - | NPPES |
| U000092310 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Utah) | Primary |
| Provider Name | Jennifer A. Knepper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437196144 PECOS PAC ID: 5799740361 Enrollment ID: I20150930000633 |
| Provider Name | Jacqueline Romrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447690235 PECOS PAC ID: 9436468139 Enrollment ID: I20151020002339 |
| Provider Name | Melissa Areinamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811234917 PECOS PAC ID: 1759526882 Enrollment ID: I20161114001663 |
| Provider Name | Mandy Lynn Pattillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336662519 PECOS PAC ID: 2860763646 Enrollment ID: I20170814000687 |
| Provider Name | Erin M Burt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235651506 PECOS PAC ID: 4385916758 Enrollment ID: I20170818002583 |
| Provider Name | Jessica Coon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538518469 PECOS PAC ID: 3779840582 Enrollment ID: I20171204002116 |
| Provider Name | Hosanna Angelina Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306344973 PECOS PAC ID: 1658631684 Enrollment ID: I20180212001649 |
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Anodyne Of Park City Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1790 Sun Peak Dr Ste A102, Park City, UT 84098 Phone: 435-640-1353 Fax: 435-655-2984 | |
Uuhc - Redstone Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1743 Redstone Center Dr Ste 115, Park City, UT 84098 Phone: 435-658-9200 | |
Imed Utah Heart Pc Homestead Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Homestead Rd, Ste 100, Park City, UT 84098 Phone: 801-507-3500 | |
Knepper Concierge Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 617-571-3680 Fax: 435-731-8328 | |
Stat-md I Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 |