Jay P Andersen, OTR/L | |
380 E 1500 S, Heber City, UT 84032-3940 | |
(435) 654-5607 | |
(435) 654-2602 |
Full Name | Jay P Andersen |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 380 E 1500 S, Heber City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396751210 | NPI | - | NPPES |
107030670103 | Other | UT | IHC SELECT HEALTH |
D5302 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 53405374201 (Utah) | Primary |
Provider Name | Ihc Health Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
Mailing Address | Practice Location Address |
---|---|
Jay P Andersen, OTR/L 380 E 1500 S, Heber City, UT 84032-3940 Ph: (435) 654-5607 | Jay P Andersen, OTR/L 380 E 1500 S, Heber City, UT 84032-3940 Ph: (435) 654-5607 |
Tina L Williams, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 W 600 S, Heber City, UT 84032 Phone: 435-654-5607 Fax: 435-654-2602 | |
Richard Hagen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 W 600 S, Suite #200, Heber City, UT 84032 Phone: 435-654-5607 | |
Annah Michelle Greaber, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 380 E 1500 S Ste 102, Heber City, UT 84032 Phone: 435-657-4690 | |
Sarah M Christensen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 380 E 1500 S, #100, Heber City, UT 84032 Phone: 435-654-5607 Fax: 435-654-2602 | |
Brent B. Benson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 W 600 S, Ste #200, Heber City, UT 84032 Phone: 435-654-2131 |