Rebecca Roe, | |
2131 Kays Creek Dr, Layton, UT 84040-7881 | |
(801) 917-9000 | |
Not Available |
Full Name | Rebecca Roe |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2131 Kays Creek Dr, Layton, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164839585 | NPI | - | NPPES |
260022408 | Other | UT | RAILROAD MEDICARE |
876000308007 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9640312-3501 (Utah) | Primary |
Entity Name | Renew Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548955479 PECOS PAC ID: 5698133726 Enrollment ID: O20230622001752 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Roe, 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3700 | Rebecca Roe, 2131 Kays Creek Dr, Layton, UT 84040-7881 Ph: (801) 917-9000 |
Kelley Diane Irmen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Michele Tanner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Jennifer Lynn Forbes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Curtis M. Tesch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Alison Coburn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1660 W Antelope Dr Ste 320, Layton, UT 84041 Phone: 801-773-4840 | |
Brady D Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Rod F Thornley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 |