Brynnley Sue Mair, is a medicare enrolled "Physician Assistant" in Nibley, Utah. Her current practice location is
389 Sheridan Cir, Nibley, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 770-5616.
Brynnley Sue Mair is licensed to practice in Utah (license number 14168104-1206) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114669298.
Provider's Profile
Full Name | Brynnley Sue Mair |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 389 Sheridan Cir, Nibley, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114669298
- Provider Enumeration Date: 04/10/2022
- Last Update Date: 09/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103359468
- Enrollment ID: I20241025001622
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
enrolled with medicare and thus, if eligible, can 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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