Reagan Fails, PA-C
Individual provider Active NPI Medical Physician Assistant · Beaver, UT
NPI 1811399116 · NPPES record last updated Sep 18, 2014
Key facts
- NPI
- 1811399116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 9140864-1206 (UT)
- Practice address
- 1059 N 100 W
Beaver, UT 84713-1690 - Phone
- (435) 438-7280
- Fax
- (435) 438-7210
- NPI assigned
- Sep 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1000 N Main St
Richfield, UT 84701-2061
Phone (801) 357-4600
1000 N Main St
Richfield, UT 84701-2069
70 E 1000
Richfield, UT 84701-1850
Phone (435) 893-0580
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
- Intermountain Health Home Health - Mt. Pleasant
- Intermountain Health Sevier Valley Hospital
- Gunnison Valley Hospital
- Beaver Valley Hospital
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 |
|---|---|---|---|---|
| I20141020002562 | UT | Practitioner - Physician Assistant | 6901027705 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9140864-1206 | UT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Valley Hospital | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Beaver Valley Hospital | Current | Accepting new patients | |
| Beaver Valley Hospital | Current |
Accepting new patients | |
| Ihc Health Services Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Gunnison Valley Hospital | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441
1000 N Main St
Ste B
Richfield, UT 84701
Phone (435) 289-2167
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9140864-1206 | UT | Yes |
Addresses
Primary practice location
1059 N 100 W
Beaver, UT 84713-1690
Mailing address
PO Box 1690
Beaver, UT 84713-1690
Phone (435) 438-7280
Other providers in Beaver, UT
- David R. Albrecht O.D. P.C.
- Hayley Davis-Bartlett
- Dr Ryan Raymond Williams MD PC
- E. Jones Legacy Care Homes
- Paul Scott Elieson
- Zachary S Flinders
- Pepper Gale
- Gary W. Clark a Professional Corporation
- Braxton Goff
- H2RX
All providers in Beaver, UT · Medical 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 Sep 18, 2014. 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.