Brynnley Sue Mair, is a
Physician Assistant based in Nibley, Utah. Brynnley Sue Mair is licensed to practice in Utah (license number 14168104-1206) and her current practice location is
389 Sheridan Cir, Nibley, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 770-5616.
NPI number for Brynnley Sue Mair is 1114669298 and her current mailing address is 389 Sheridan Cir, Nibley, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114669298.
Provider's Profile
| Full Name | Brynnley Sue Mair |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 389 Sheridan Cir, Nibley, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114669298
- Provider Enumeration Date: 04/10/2022
- Last Update Date: 09/21/2024
Medical Identifiers
Medical identifiers for Brynnley Sue Mair such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114669298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 14168104-1206 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brynnley Sue Mair is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brynnley Sue Mair,
389 Sheridan Cir,
Nibley, UT 84321-7646
Ph: (435) 770-5616 | Brynnley Sue Mair,
389 Sheridan Cir,
Nibley, UT 84321-7646
Ph: (435) 770-5616 |
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