Ian Taylor Sudbury, PA-C is a medicare enrolled "Physician Assistant" in Herriman, Utah. His current practice location is
5018 W Great Basin Cir, Herriman, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 699-8660.
Ian Taylor Sudbury is licensed to practice in Utah (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316620131.
Provider's Profile
Full Name | Ian Taylor Sudbury |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 5018 W Great Basin Cir, Herriman, 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: 1316620131
- Provider Enumeration Date: 08/09/2023
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991159949
- Enrollment ID: I20230926001651
Medical Identifiers
Medical identifiers for Ian Taylor Sudbury such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316620131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (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. Ian Taylor Sudbury 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 |
Ian Taylor Sudbury, PA-C 5018 W Great Basin Cir, Herriman, UT 84096-1846 Ph: (801) 699-8660 | Ian Taylor Sudbury, PA-C 5018 W Great Basin Cir, Herriman, UT 84096-1846 Ph: (801) 699-8660 |
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