Brooke Ludwig, | |
3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 | |
(801) 789-2444 | |
(801) 789-2045 |
Full Name | Brooke Ludwig |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134750110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 8642879-4405 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Podiatric Physicians And Surgeons Group Llc | 4183946940 | 10 |
Entity Name | Mountain West Family Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770581605 PECOS PAC ID: 6406813070 Enrollment ID: O20041215000392 |
Entity Name | Utah Podiatric Physicians And Surgeons Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174942460 PECOS PAC ID: 4183946940 Enrollment ID: O20141204002347 |
Entity Name | Cedar Valley Family & Foot Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649902461 PECOS PAC ID: 1759765027 Enrollment ID: O20220906001237 |
Mailing Address | Practice Location Address |
---|---|
Brooke Ludwig, 280 S Main St, Bountiful, UT 84010-6236 Ph: (801) 505-0821 | Brooke Ludwig, 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 Ph: (801) 789-2444 |
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 | |
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 | |
Brian Lee Simmons, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005 Phone: 801-789-5566 Fax: 801-642-2942 | |
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 |