Successor Healthcare LLC

PAC ID

3375724826The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice

Enrolled in

UT

Enrollments

2

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 1 place

Enrollment records 2

These NPI records belong to the same enrolled organization. Each has its own page.

• Successor Healthcare LLC

  dba Marian Center

  • Psychiatric Hospital Unit
  • Salt Lake City, UT
  • NPI 1144526997
• Successor Healthcare LLC

  dba St. Joseph Villa

  • Skilled Nursing Facility
  • Salt Lake City, UT
  • NPI 1255634879

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

• Sonja J Bates, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1699868950
• Morgan Charles Galbraith, A.P.R.N.

  • Family Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1285084525
• David L Skalka Jr., NP-C

  • Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1851692735
• Willy Taylor, PA-C

  • Physician Assistant
  • Salt Lake City, UT
  • NPI 1437497849

• 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.