Adam Lecroy, PA-C
Individual provider Active NPI Physician Assistant · Bluffdale, UT
NPI 1497916712 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1497916712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 17800 S Camp Williams Rd
Bluffdale, UT 84065-4905 - Phone
- (801) 878-5076
- NPI assigned
- Jun 19, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
5373 S Green St
Suite 400
Murray, UT 84123-4740
Phone (866) 415-6556
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170703000632 | UT | Practitioner - Physician Assistant | 8628259413 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current |
Accepting new patients |
| University of Utah Acuity Care Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
17800 S Camp Williams Rd
Bluffdale, UT 84065-4905
Mailing address
776 W 1875 S
Lehi, UT 84043-7425
Phone (614) 946-1061
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alecroy245569@direct.med.utah.edu | Direct | University of Utah |
Other providers in Bluffdale, UT
- Anne Nicole Kendrick
- William Kitchen
- Hunter Lynn Kopfman
- Mason Krey
- Kathleen M Langer
- Little Bites Therapy
- Melissa Little
- Bengt Christian Lock
- Lumos Enterprises LLC
- Lumos Psychiatric Services LLC
All providers in Bluffdale, UT · Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.