| Kelly D Mikesell, PA-C | |
|
3570 W 9000 S Ste 200, West Jordan, UT 84088-8875 | |
| (801) 566-9211 | |
| (801) 566-5667 |
| Full Name | Kelly D Mikesell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 3570 W 9000 S Ste 200, West Jordan, 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 |
|---|---|---|---|
| 1023200888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5244260-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Ogden Regional Medical Center | Ogden, UT | Hospital |
| Brigham City Community Hospital | Brigham city, UT | Hospital |
| Davis Hospital And Medical Center | Layton, UT | Hospital |
| Layton Hospital | Layton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ogden Clinic Specialty Services Llc | 1658781422 | 108 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly D Mikesell, PA-C 1055 N 500 W, Attn: Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Kelly D Mikesell, PA-C 3570 W 9000 S Ste 200, West Jordan, UT 84088-8875 Ph: (801) 566-9211 |
Mrs. Ashley Majoskey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3584 W 9000 S Ste 401, West Jordan, UT 84088 Phone: 801-290-7156 | |
Janis K Cline, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3584 W. 9000 S., Suite 311, West Jordan, UT 84088 Phone: 801-566-8304 Fax: 801-566-8330 | |
Todd Schauers, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8846 S Redwood Rd Ste E121, West Jordan, UT 84088 Phone: 801-569-1999 Fax: 801-569-2001 | |
Christopher Van Terry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3590 W 9000 S, Suite 240, West Jordan, UT 84088 Phone: 801-505-5370 | |
Eileen Scanlon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Mr. Collin Verdel Mcdonald, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9001 S 3200 W, West Jordan, UT 84088 Phone: 801-569-5520 |