Tye Frank Johnson, PA | |
555 W Sr 164, Salem, UT 84653 | |
(801) 465-4896 | |
(801) 465-3267 |
Full Name | Tye Frank Johnson |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 7 Years |
Location | 555 W Sr 164, Salem, 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 |
---|---|---|---|
1467955526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 10701069-1206 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Central Utah Clinic Pc | 7517868508 | 386 |
Mailing Address | Practice Location Address |
---|---|
Tye Frank Johnson, PA 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Tye Frank Johnson, PA 555 W Sr 164, Salem, UT 84653 Ph: (801) 465-4896 |
Robert Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4896 | |
Shawn Stephen Hill, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4813 Fax: 801-812-5433 | |
Jonathan D Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4813 Fax: 801-812-5433 | |
Whitney Mccoy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4896 Fax: 801-465-3267 | |
Mr. Aaron Gregory Fausett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 164, Salem, UT 84653 Phone: 801-465-4896 Fax: 801-465-3267 | |
Seth M Grisham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 164, Salem, UT 84653 Phone: 801-465-4896 |