| Kelsie Faith Beddes, FNP | |
|
4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005-5531 | |
| (801) 429-8037 | |
| Not Available |
| Full Name | Kelsie Faith Beddes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275250235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10496724-4405 (Utah) | Primary |
| Entity Name | Central Utah Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Entity Name | Alexanders Fitness Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518583566 PECOS PAC ID: 4486079985 Enrollment ID: O20200730003372 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsie Faith Beddes, FNP 1055 N 500 W Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Kelsie Faith Beddes, FNP 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005-5531 Ph: (801) 429-8037 |
Paul Knorr Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4095 E Pony Express Pkwy, Ste 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
Weston George Rallis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5256 E Blacksmith Rd, Eagle Mountain, UT 84005 Phone: 801-828-7909 | |
Brooke Ludwig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005 Phone: 801-789-2444 Fax: 801-789-2045 | |
Tahsha T Spackman, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7224 N Skyview Ln, Eagle Mountain, UT 84005 Phone: 208-851-1987 | |
Mr. Lorin Leithead, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
Brian Lee Simmons, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005 Phone: 801-789-5566 Fax: 801-642-2942 | |
Ms. Dana Michelle Roach, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3435 E Pony Express Pkwy Ste 104, Eagle Mountain, UT 84005 Phone: 801-789-2444 Fax: 801-789-2045 |