Gina Brewer, | |
8606 N 11600 W, Thatcher, UT 84337-9103 | |
(435) 854-7295 | |
Not Available |
Full Name | Gina Brewer |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 8606 N 11600 W, Thatcher, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043643380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Gina Brewer, 58 S 950 W, Brigham City, UT 84302-4424 Ph: (435) 538-5061 | Gina Brewer, 8606 N 11600 W, Thatcher, UT 84337-9103 Ph: (435) 854-7295 |
Jesus Medina-santana, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8606 N 11600 W, Thatcher, UT 84337 Phone: 435-854-7295 | |
Anthony Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8606 N 11600 W, Thatcher, UT 84337 Phone: 435-723-8548 Fax: 435-239-8732 | |
Jacob Nielsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8606 N 11600 W, Thatcher, UT 84337 Phone: 435-723-8548 | |
Worthy Vieth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8606 N 11600 W, Thatcher, UT 84337 Phone: 435-538-5061 Fax: 435-538-5066 | |
Adam Voss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8606 N 11600 W, Thatcher, UT 84337 Phone: 435-854-7295 | |
Elise Voss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8606 N 11600 W, Thatcher, UT 84337 Phone: 435-854-7293 Fax: 435-239-8732 |