| Sara Dougherty, NP | |
|
7302 S Bingham Junction Blvd, Midvale, UT 84047-4804 | |
| (801) 442-5502 | |
| Not Available |
| Full Name | Sara Dougherty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7302 S Bingham Junction Blvd, Midvale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821024480 | NPI | - | NPPES |
| 428623219 | Medicaid | MO | |
| 100183120A | Medicaid | OK | |
| 173861 | Other | MO | ANTHEM |
| 1821024480 | Other | NV | SMA MEDICAID |
| 500014122 | Other | RR MEDICARE | |
| V112696 | Other | NV | SMA MEDICARE |
| 200000240A | Medicaid | KS |
| Entity Name | Southwest Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Dougherty, NP 7302 S Bingham Junction Blvd, Midvale, UT 84047-4804 Ph: (801) 442-5502 | Sara Dougherty, NP 7302 S Bingham Junction Blvd, Midvale, UT 84047-4804 Ph: (801) 442-5502 |
Shelley Bradfield Cheever, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7722 S 1130 E, Midvale, UT 84047 Phone: 801-694-5700 | |
Lynn Marie Mcmillan, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047 Phone: 801-233-4400 | |
Starlene Rose, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 602 E Fort Union Blvd, Midvale, UT 84047 Phone: 801-313-1010 | |
Ms. Linda L. Decker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1225 Fort Union Blvd, Suite 215, Midvale, UT 84047 Phone: 801-233-4200 Fax: 801-233-4239 | |
Rachel Ivie Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 167 W Princeton Dr, Midvale, UT 84047 Phone: 385-219-1090 | |
Julia Marie Palmieri, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 E 6850 S, Midvale, UT 84047 Phone: 801-568-6700 | |
Cassandra Renee Debenham, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7661 S 700 E, Midvale, UT 84047 Phone: 801-385-5243 |