Mr Reynie Thomas Sandoval, LCSW | |
853 N 1200 E, Provo, UT 84604-3526 | |
(801) 473-8844 | |
Not Available |
Full Name | Mr Reynie Thomas Sandoval |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 853 N 1200 E, Provo, 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 |
---|---|---|---|
1295041614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4976881-3501 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cedar Psychiatry Llc | 2163750688 | 37 |
Entity Name | Cedar Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230 |
Mailing Address | Practice Location Address |
---|---|
Mr Reynie Thomas Sandoval, LCSW 853 N 1200 E, Provo, UT 84604-3526 Ph: (801) 473-8844 | Mr Reynie Thomas Sandoval, LCSW 853 N 1200 E, Provo, UT 84604-3526 Ph: (801) 473-8844 |
Dallas Bean, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W Ste 300, Provo, UT 84601 Phone: 801-373-4760 | |
Brenna Garrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 | |
Mrs. Karen Dee Amsden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Frederick Brewer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Suite 108, Provo, UT 84601 Phone: 801-373-7394 | |
William Kory Camp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215 | |
Benjamin Theurer, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Alaina Barrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 N Canyon Rd, Provo, UT 84604 Phone: 859-582-0032 |