Medix West Injury
A Medicare group practice based in Tooele, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1759738057), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1759738057
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- UT
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20231108000809 | UT | Part B Supplier - Clinic/Group Practice | 1891688313 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Tooele, UT1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Andrew Caldwell, PA-C
- Physician Assistant
- Tooele, UT
- NPI 1679942916
-
Nicole Marie Greene, APRN
- Gerontology Nurse Practitioner
- Draper, UT
- NPI 1538830989
-
Yogesh Patel, PA-C
- Physician Assistant
- Magna, UT
- NPI 1346765666
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.