Charlie R Jacques, APRN | |
1380 E Medical Center Dr, Suite #1400, St George, UT 84790-2123 | |
(435) 251-2600 | |
Not Available |
Full Name | Charlie R Jacques |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 1380 E Medical Center Dr, St George, 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 |
---|---|---|---|
1336162890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1976944405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dixie Regional Medical Center | St george, UT | Hospital |
Cedar City Hospital | Cedar city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Charlie R Jacques, APRN Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 251-2600 | Charlie R Jacques, APRN 1380 E Medical Center Dr, Suite #1400, St George, UT 84790-2123 Ph: (435) 251-2600 |
Mr. Brooks Wiley, FPMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 N 1680 E Ste H1, St George, UT 84790 Phone: 435-652-1897 | |
Beau Jay Kunzler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 S Medical Center Dr, St George, UT 84790 Phone: 435-251-4900 | |
Brookanne J Mickelson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 N 200 E Ste 2a, St George, UT 84770 Phone: 435-688-7246 Fax: 435-688-1363 | |
Heather Rose Bandle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2162 E 2800 S, St George, UT 84790 Phone: 435-268-2363 Fax: 435-215-2563 | |
Christopher Ray Andrew, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 | |
Carole Ann Grady, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 595 S Bluff St, St George, UT 84770 Phone: 435-674-9933 | |
William Bentley Christensen, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N 100 E Ste 102, St George, UT 84770 Phone: 435-986-2565 |