Brian Lee Simmons, FNP-C | |
3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005-5543 | |
(801) 789-5566 | |
(801) 642-2942 |
Full Name | Brian Lee Simmons |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, 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 |
---|---|---|---|
1225508096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 9136475-4405 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Family Medical | 7416197785 | 69 |
Entity Name | Premier Family Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079 |
Mailing Address | Practice Location Address |
---|---|
Brian Lee Simmons, FNP-C 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005-5543 Ph: (801) 789-5566 | Brian Lee Simmons, FNP-C 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005-5543 Ph: (801) 789-5566 |
Paul Knorr Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4095 E Pony Express Pkwy, Ste 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
Weston George Rallis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5256 E Blacksmith Rd, Eagle Mountain, UT 84005 Phone: 801-828-7909 | |
Brooke Ludwig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005 Phone: 801-789-2444 Fax: 801-789-2045 | |
Tahsha T Spackman, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7224 N Skyview Ln, Eagle Mountain, UT 84005 Phone: 208-851-1987 | |
Mr. Lorin Leithead, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
Ms. Dana Michelle Roach, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3435 E Pony Express Pkwy Ste 104, Eagle Mountain, UT 84005 Phone: 801-789-2444 Fax: 801-789-2045 |