| Logan Kupitz, PA-C | |
|
4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005-5531 | |
| (801) 429-8037 | |
| Not Available |
| Full Name | Logan Kupitz |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, 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 |
|---|---|---|---|
| 1891343950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11353339-1206 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Kupitz, PA-C 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Logan Kupitz, PA-C 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005-5531 Ph: (801) 429-8037 |
Brian J Pontius, MPAS PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4095 E Pony Express Pkwy, Eagle Mountain, UT 84005 Phone: 801-429-8037 | |
Cami Jo Watt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005 Phone: 801-789-5566 | |
Angela Salveson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
Cherokee Carrillo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4095 E Pony Express Parkway, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
Ms. Elizabeth A Pritt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4095 E Pony Express Parkway, Suite 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
Mr. Jay Cannon Lambert, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4095 E Pony Express Pkwy, Ste 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 |