John Alan Grotegut, APRN | |
1300 E Center St, Provo, UT 84606-3554 | |
(801) 344-4400 | |
Not Available |
Full Name | John Alan Grotegut |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1300 E Center St, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568042588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5258354-4405 (Utah) | Primary |
Entity Name | Molina Healthcare Of Utah |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619486396 PECOS PAC ID: 8224395041 Enrollment ID: O20171204002662 |
Mailing Address | Practice Location Address |
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John Alan Grotegut, APRN 1383 S 2600 E, Spanish Fork, UT 84660-9392 Ph: (801) 361-8062 | John Alan Grotegut, APRN 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400 |
Sharla Morgan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-356-1300 Fax: 801-356-1304 | |
Ashley Saunders, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 Fax: 801-812-5034 | |
Mr. Michael Frank Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811 | |
Connie Denise Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606 Phone: 801-877-5801 Fax: 801-877-5802 | |
Jennifer Lynn Osborne, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-429-8191 | |
Amber Elexis Marsh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd, Provo, UT 84604 Phone: 801-357-7850 | |
Melissa Sue Guest, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 |