| Promise Medical PLLC | |
|
159 N 400 W Unit B-8 Orem UT 84057-1909 | |
| (385) 262-4135 | |
| (801) 899-7996 |
| Full Name | Promise Medical PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 159 N 400 W Unit B-8, Orem, Utah |
| Authorized Official Name and Position | Anne E Vincent (OWNER) |
| Authorized Official Contact | 3852624135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promise Medical PLLC 159 N 400 W Unit B-8 Orem UT 84057-1909 Ph: (385) 262-4135 | Promise Medical PLLC 159 N 400 W Unit B-8 Orem UT 84057-1909 Ph: (385) 262-4135 |
| NPI Number | 1548753866 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 5799037594 |
|---|---|
| Medicare Enrollment ID | O20181005000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548753866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 281795-4405 (Utah) | Primary |
| Provider Name | Anne E Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447672464 PECOS PAC ID: 0648491720 Enrollment ID: I20141015001711 |
| Provider Name | Bailee Michelle Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598450470 PECOS PAC ID: 0547615312 Enrollment ID: I20231013002097 |
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