| Mr Ian Daniel Primavera, PA-C | |
|
75 N 2260 W, Hurricane, UT 84737-2034 | |
| (760) 757-0224 | |
| Not Available |
| Full Name | Mr Ian Daniel Primavera |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 75 N 2260 W, Hurricane, 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 |
|---|---|---|---|
| 1831441237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 12870631-1206 (Utah) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA22615 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dixie Regional Medical Center | St george, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ian Daniel Primavera, PA-C 75 N 2260 W, Hurricane, UT 84737-2034 Ph: () - | Mr Ian Daniel Primavera, PA-C 75 N 2260 W, Hurricane, UT 84737-2034 Ph: (760) 757-0224 |
Amy Elizabeth Machen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25 N 2000 W Ste 3, Hurricane, UT 84737 Phone: 435-635-9444 Fax: 435-635-8108 | |
Philip Carter, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Hurricane, UT 84737 Phone: 435-635-9444 Fax: 435-635-8148 | |
Emma Elizabeth Cornwell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5199 Wheeler Way, Hurricane, UT 84737 Phone: 619-247-3110 |