Mr Jedediah S Briscoe, FNP | |
1060 E 100 S, Salt Lake City, UT 84102-1501 | |
(801) 350-4110 | |
Not Available |
Full Name | Mr Jedediah S Briscoe |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 1060 E 100 S, Salt Lake City, 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 |
---|---|---|---|
1962650184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 334170-4408 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Evanston Regional Hospital | Evanston, WY | Hospital |
Davis Hospital And Medical Center | Layton, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Silverton Group Llc | 5395884019 | 9 |
Senior Health Llc | 6305260746 | 18 |
Entity Name | Silverton Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629303169 PECOS PAC ID: 5395884019 Enrollment ID: O20091209000187 |
Entity Name | Western Medical Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790175073 PECOS PAC ID: 0446577290 Enrollment ID: O20150316002507 |
Entity Name | Senior Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134721228 PECOS PAC ID: 6305260746 Enrollment ID: O20200720000334 |
Entity Name | Senior Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134721228 PECOS PAC ID: 6305260746 Enrollment ID: O20210511001780 |
Mailing Address | Practice Location Address |
---|---|
Mr Jedediah S Briscoe, FNP 1060 E 100 S, Salt Lake City, UT 84102-1501 Ph: (801) 350-4110 | Mr Jedediah S Briscoe, FNP 1060 E 100 S, Salt Lake City, UT 84102-1501 Ph: (801) 350-4110 |
Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999 | |
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600 | |
Emma Fong, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000 | |
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766 | |
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761 | |
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 | |
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166 |