| Palliative Medicine Associates Llc | |
|
888 E 3900 S Suite B Salt Lake City UT 84107-2151 | |
| (801) 747-0330 | |
| Not Available |
| Full Name | Palliative Medicine Associates Llc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 888 E 3900 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Nino Calfa (OWNER) |
| Authorized Official Contact | 8017506466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palliative Medicine Associates Llc 888 E 3900 S Suite B Salt Lake City UT 84107-2151 Ph: (801) 747-0330 | Palliative Medicine Associates Llc 888 E 3900 S Suite B Salt Lake City UT 84107-2151 Ph: (801) 747-0330 |
| NPI Number | 1003296070 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Medicare PECOS PAC ID | 7315252608 |
|---|---|
| Medicare Enrollment ID | O20150814014908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003296070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
| Provider Name | Jane Ellen Macpherson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699869479 PECOS PAC ID: 8022916055 Enrollment ID: I20031229000519 |
| Provider Name | Kashif A Memon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932161668 PECOS PAC ID: 2668404278 Enrollment ID: I20050902000744 |
| Provider Name | Jill Charlene Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083852677 PECOS PAC ID: 2264578020 Enrollment ID: I20091007000797 |
| Provider Name | Lynette Erika Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760733224 PECOS PAC ID: 7911140595 Enrollment ID: I20130829000437 |
| Provider Name | Frederick J Dressen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932159100 PECOS PAC ID: 4880504240 Enrollment ID: I20140306001012 |
| Provider Name | Heidi Regenass |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225258965 PECOS PAC ID: 3274704176 Enrollment ID: I20140630002123 |
| Provider Name | Angela Gerrard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770967200 PECOS PAC ID: 9436467248 Enrollment ID: I20150928002795 |
| Provider Name | Jaclyn J Piper-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619353182 PECOS PAC ID: 3971813221 Enrollment ID: I20151117001403 |
| Provider Name | James Kevin Visker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144650664 PECOS PAC ID: 2961319835 Enrollment ID: I20180118001693 |
| Provider Name | Helena Louisa Class-alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841808375 PECOS PAC ID: 0345653192 Enrollment ID: I20240424001254 |
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