Mark Duwayne Deis, | |
6154 S 2175 E, Ogden, UT 84403-5354 | |
(801) 726-3738 | |
Not Available |
Full Name | Mark Duwayne Deis |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 6154 S 2175 E, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821752676 | NPI | - | NPPES |
1275134132 | Other | UT | COMMERCIAL INSURANCE |
1275134132 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 56634973102 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5663497-4405 (Utah) | Primary |
Entity Name | Amazing Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487836532 PECOS PAC ID: 5991606329 Enrollment ID: O20040117000199 |
Entity Name | Brandy Marie Family & Aesthetic Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275134132 PECOS PAC ID: 0941612923 Enrollment ID: O20201216000573 |
Entity Name | Wasatch Post-acute Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144922477 PECOS PAC ID: 1052786993 Enrollment ID: O20230407000204 |
Entity Name | Kameo Health Wellness And Beauty Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043092927 PECOS PAC ID: 3476996323 Enrollment ID: O20240207002122 |
Entity Name | Wasatch Rpm Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053175976 PECOS PAC ID: 2163868829 Enrollment ID: O20240315003262 |
Mailing Address | Practice Location Address |
---|---|
Mark Duwayne Deis, 6154 S 2175 E, Ogden, UT 84403-5354 Ph: (801) 726-3738 | Mark Duwayne Deis, 6154 S 2175 E, Ogden, UT 84403-5354 Ph: (801) 726-3738 |
Trisha B Sears, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714 | |
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110 | |
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795 | |
Carrie Hanni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 | |
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572 | |
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797 | |
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702 |