Max Mitchell, | |
112 W 770 N, Santaquin, UT 84655-7913 | |
(801) 754-3654 | |
Not Available |
Full Name | Max Mitchell |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 112 W 770 N, Santaquin, 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 |
---|---|---|---|
1174995500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3102637-4405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intermountain Homecare Home Health Salt Lake | South jordan, UT | Home health agency |
Utah Valley Hospital | Provo, UT | Hospital |
American Fork Hospital | American fork, UT | Hospital |
Dixie Regional Medical Center | St george, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Max Mitchell, 112 W 770 N, Santaquin, UT 84655-7913 Ph: (801) 754-3654 | Max Mitchell, 112 W 770 N, Santaquin, UT 84655-7913 Ph: (801) 754-3654 |
Ashlyn Rudd Mcclellan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1140 W Hidden Spring Dr, Santaquin, UT 84655 Phone: 801-361-1408 | |
Jennifer Lynne Trinidad, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 548 Stone Way, Santaquin, UT 84655 Phone: 951-217-9297 | |
Irina M. Campbell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 875 E 230 N, Santaquin, UT 84655 Phone: 801-592-4451 |