Senior Health - Physician Services - Medicare Primary Care in Woods Cross, UT

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Senior Health - Physician Services is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Woods Cross, Utah. The current practice location for Senior Health - Physician Services is 576 W 900 S Ste 105, Woods Cross, Utah. For appointments, you can reach them via phone at (801) 693-2380. The mailing address for Senior Health - Physician Services is 598 W 900 S Ste 220, Woods Cross, Utah and phone number is (801) 397-4697.

Senior Health - Physician Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134721228. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 693-2380.

Contact Information

Senior Health - Physician Services
576 W 900 S Ste 105
Woods Cross
UT 84010-8232
(801) 693-2380
(801) 693-2399

Map and Direction


Primary Care Clinic Profile

Full NameSenior Health - Physician Services
SpecialityFamily Medicine
Location576 W 900 S Ste 105, Woods Cross, Utah
Authorized Official Name and PositionEdward Bangerter (MANAGER)
Authorized Official Contact8013974101
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Senior Health - Physician Services
598 W 900 S Ste 220
Woods Cross
UT 84010-8195

Ph: (801) 397-4697		Senior Health - Physician Services
576 W 900 S Ste 105
Woods Cross
UT 84010-8232

Ph: (801) 693-2380

NPI Details:

NPI Number1134721228
Provider Enumeration Date11/12/2020
Last Update Date03/27/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6305260746
Medicare Enrollment IDO20200720000334

Medical Identifiers

Medical identifiers for Senior Health - Physician Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134721228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Senior Health - Physician Services acts as a billing entity for following providers:
Provider NameKellie Daugharty Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750467155
PECOS PAC ID: 7113831983
Enrollment ID: I20031117000146
Provider NameMark A Rada
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770515140
PECOS PAC ID: 1052212040
Enrollment ID: I20040113000812
Provider NameGlen F Biddulph
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518999275
PECOS PAC ID: 1355381591
Enrollment ID: I20050506000779
Provider NameVera Carlson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023095585
PECOS PAC ID: 8921057803
Enrollment ID: I20051213000106
Provider NameKraig Lynn Packer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518959535
PECOS PAC ID: 3779471412
Enrollment ID: I20080520000842
Provider NameCameron G Peterson
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1164604765
PECOS PAC ID: 5991855207
Enrollment ID: I20090609000004
Provider NameStephen J Bruce
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841269321
PECOS PAC ID: 6608906052
Enrollment ID: I20100610000617
Provider NameDavid Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154575637
PECOS PAC ID: 4486779204
Enrollment ID: I20100917000078
Provider NameAbdulelah Y Abu Qare
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134187636
PECOS PAC ID: 4082667498
Enrollment ID: I20110628000810
Provider NameGarth James Muir
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326200627
PECOS PAC ID: 1052451705
Enrollment ID: I20130222000113
Provider NameJedediah Briscoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962650184
PECOS PAC ID: 5698990513
Enrollment ID: I20140709003046
Provider NameJanis Maag
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982112587
PECOS PAC ID: 2466712054
Enrollment ID: I20180130000994
Provider NameRyan Scott Larsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669968723
PECOS PAC ID: 6709122617
Enrollment ID: I20190115001031
Provider NameMindy Rae Gurley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053899690
PECOS PAC ID: 3870845241
Enrollment ID: I20190307002981
Provider NameJoni Hamblin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376007237
PECOS PAC ID: 9931441888
Enrollment ID: I20200107001649
Provider NameAubrie E.w. Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780114819
PECOS PAC ID: 1052741469
Enrollment ID: I20200427002676
Provider NameChelsea M Dearing
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801417365
PECOS PAC ID: 1355765405
Enrollment ID: I20200722000336
Provider NameBrandy Marie Tafoya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306447362
PECOS PAC ID: 1850703836
Enrollment ID: I20201216000670
Provider NameChristopher T Romney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386223055
PECOS PAC ID: 3274934682
Enrollment ID: I20210623000913
Provider NameChristy Tran Mulder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669148599
PECOS PAC ID: 1759789902
Enrollment ID: I20211001002469
Provider NameTeya C Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063186872
PECOS PAC ID: 9638569866
Enrollment ID: I20211202001813
Provider NameSheila R Mioni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619639242
PECOS PAC ID: 0648660209
Enrollment ID: I20211214001837
Provider NameBengt Lock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497417919
PECOS PAC ID: 8921499070
Enrollment ID: I20211227001449
Provider NameMichelle Emiko-oya Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376144402
PECOS PAC ID: 2264819366
Enrollment ID: I20220511000459
Provider NameAmanda D Webb-ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972265304
PECOS PAC ID: 7618354002
Enrollment ID: I20220525000627
Provider NameHolly C Hacking
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053995688
PECOS PAC ID: 3274915210
Enrollment ID: I20220808000667
Provider NameDonna Larhesa Callas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902536311
PECOS PAC ID: 9335511013
Enrollment ID: I20230206001678
Provider NameSpencer Keith Noyce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740934488
PECOS PAC ID: 0840646162
Enrollment ID: I20231023003219
Provider NameThomas Jay Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508511163
PECOS PAC ID: 6608223847
Enrollment ID: I20231109003211
Provider NameCarley Ann Florence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235990565
PECOS PAC ID: 1850737818
Enrollment ID: I20240312004212

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.