| Chad Ryan Rebo, PA-C | |
|
340 E 100 S, Salt Lake City, UT 84111-1702 | |
| (801) 428-3500 | |
| (801) 322-2831 |
| Full Name | Chad Ryan Rebo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 340 E 100 S, Salt Lake City, 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 |
|---|---|---|---|
| 1164856886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8776901-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | MED-PAC-LIC-41920 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cabinet Peaks Medical Center | Libby, MT | Hospital |
| Providence St Joseph Medical Center | Polson, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence St Joseph Medical Center | 0446230247 | 41 |
| St Johns Lutheran Hospital Inc | 1557255676 | 18 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Ryan Rebo, PA-C 320 E 2nd St, Libby, MT 59923-2010 Ph: (406) 283-6900 | Chad Ryan Rebo, PA-C 340 E 100 S, Salt Lake City, UT 84111-1702 Ph: (801) 428-3500 |
Staci Lee Gunter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6908 | |
Mckie Alan Delahunty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 S 700 E Ste 10, Salt Lake City, UT 84107 Phone: 801-268-4141 | |
Mr. David Joe Keahey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 461 S 400 E, Salt Lake City, UT 84111 Phone: 801-539-8634 | |
Mr. David Scott Archibald, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 | |
Jonathan Middlemiss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1220 E 3900 S Ste 4a, Salt Lake City, UT 84124 Phone: 801-261-8507 Fax: 801-261-8511 | |
Kaydon J Lloyd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-268-7111 | |
Quinton Allred, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Salt Lake City, UT 84132 Phone: 801-581-7822 |