Download pdf - Provider & Pharmacy Directory Directorio de proveedores y farmacias · 2020-03-26 · UTM04PDES0320 H5628_20_0007_NM_UT_C H5628_20_0007_NM_UT_C es 2020 Provider & Pharmacy Directory

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H5628_20_0007_NM_UT_C H5628_20_0007_NM_UT_C es

2020 Provider & Pharmacy Directory Directorio de proveedores y farmacias

Molina Medicare Choice Care HMO

Utah Davis, Salt Lake, Utah, Weber, Summit, Tooele

This pharmacy directory was updated on 03/2020 . For more recent information or other questions, please contact us, Molina Medicare Choice Care HMO Member Services, at (877) 644-0344, or for TTY users, dial

711, 7 days a week, 8 a.m. to 8 p.m., local time, or visit MolinaHealthcare.com/Medicare.

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located

on our website at MolinaHealthcare.com/UT-HMOMaterials. You may also call Member Services for updated

providers.

If you have additional questions, please call Member Services, at (877) 644-0344, TTY: 711, 7 days a week, 8 a.m. to 8 p.m., local time.

Este directorio de farmacias se actualizó en 03/2020 . Para obtener la información más reciente o respuestas a sus preguntas, comuníquese con nosotros llamando al Departamento de Servicios para Miembros de Molina Medicare Choice Care HMO al (877) 644-0344, o si es usuario del servicio TTY, marque 711, los 7 días de la semana de 8 a.m. a 8 p.m., hora local, o visite MolinaHealthcare.com/Medicare.

Podemos realizar cambios en nuestra red de farmacias durante el año de beneficios. Hay un directorio de farmacias actualizado en nuestro sitio web, MolinaHealthcare.com/UT-HMOMaterials. También puede llamar al Departamento de Servicios para Miembros para obtener información actualizada de los proveedores.

Si tiene otras preguntas comuníquese con el Departamento de Servicios para Miembros al (877) 644-0344, TTY al 711, los 7 días de la semana, de 8 a.m. a 8 p.m., hora local.

For more information visit | Para más información visite el sitio web:

MolinaHealthcare.com/Medicare

https://www.molinahealthcare.com/medicarehttps://MolinaHealthcare.com/UT-HMOMaterialshttps://www.molinahealthcare.com/medicarehttps://MolinaHealthcare.com/UT-HMOMaterialshttps://www.molinahealthcare.com/medicare

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Table of Contents Índice

Section 1 Sección 1 - Introduction / Introducción 9 / 13

What is the service area for Molina Medicare Choice Care? ¿Cuál es el área de servicio para Molina Medicare Choice Care? 11 / 15

How do you find Molina Medicare Choice Care providers that serve your area? ¿Cómo encontrar proveedores de Molina Medicare Choice Care en su área? 11 / 15

Section 2 Sección 2 - List of Network Providers / Lista de los proveedores de la red

Primary Care Providers / Proveedores de atención primaria 18

Specialists Especialistas 286

Hospitals Hospitales 873

Skilled Nursing Facilities (SNF) Centros de enfermería especializada (SNF) 875

Outpatient Mental Health Providers Proveedores de salud mental ambulatorios 876

Molina Medicare Choice Care Supplemental Benefits Contacts Information 1166

Molina Medicare Choice Care Información sobre beneficios suplementarios 1167

Supplemental Providers - Dental Proveedores Suplementarios - dental 1168

Supplemental Providers - Hearing Proveedores Suplementarios - audición 1201

Supplemental Providers - Vision Proveedores Suplementarios - visión 1203

Section 3 Sección 3 - Pharmacy Directory / Directorio de Farmacias

Pharmacy Introduction / Introducción de Farmacias 1230 / 1231

Section 4 Sección 4 - Pharmacies / Farmacias

Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias 1232

Mail Order Pharmacy Farmacia para Pedidos por Correo 1249

Home Infusion Pharmacies Servicios de Farmacias de Infusión en Casa 1250

Long-Term Care Pharmacies Farmacias para Cuidados a Largo Plazo 1251

Index of Providers Índice de Proveedores 1253

Index of Pharmacies Índice de farmacias 1289

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Molina Healthcare (Molina) complies with all Federal civil rights laws that relate to healthcare

services. Molina offers healthcare services to all members without regard to race, color, national

origin, age, disability, or sex. Molina does not exclude people or treat them differently because

of race, color, national origin, age, disability, or sex. This includes gender identity, pregnancy

and sex stereotyping.

To help you talk with us, Molina provides services free of charge:

• Aids and services to people with disabilities

o Skilled sign language interpreters

o Written material in other formats (large print, audio, accessible electronic formats,

Braille)

• Language services to people who speak another language or have limited English skills

• Skilled interpreters

• Written material translated in your language

• Material that is simply written in plain language

If you need these services, contact Molina Member Services at (800) 665-3086; TTY 711, 7 days

a week, 8 a.m. - 8 p.m., local time.

If you think that Molina failed to provide these services or treated you differently based on your

race, color, national origin, age, disability, or sex, you can file a complaint. You can file a

complaint in person, by mail, fax, or email. If you need help writing your complaint, we will help

you. Call our Civil Rights Coordinator at (866) 606-3889, or TTY, 711. Mail your complaint to:

Civil Rights Coordinator

200 Oceangate

Long Beach, CA 90802

You can also email your complaint to [email protected]. Or, fax your

complaint to (562) 499-0610.

You can also file a civil rights complaint with the U.S. Department of Health and Human

Services, Office for Civil Rights. Complaint forms are available at

http://www.hhs.gov/ocr/office/file/index.html. You can mail it to:

U.S. Department of Health and Human Services

200 Independence Avenue, SW

Room 509F, HHH Building

Washington, D.C. 20201

You can also send it to a website through the Office for Civil Rights Complaint Portal, available

at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

If you need help, call 1-800-368-1019; TTY 800-537-7697.

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mailto:[email protected]://www.hhs.gov/ocr/office/file/index.htmlhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916

English ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-665-3086 (TTY: 711).

Spanish ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-665-3086 (TTY: 711). Chinese 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-665-3086（TTY：711). Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-665-3086 (TTY: 711).

French ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-665-3086 (ATS : 711).

Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-665-3086 (TTY: 711).

German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-665-3086 (TTY: 711). Korean 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-665-3086 (TTY: 711) 번으로 전화해 주십시오.

Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-665-3086 (телетайп: 711). Arabic

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 3086-665-800-1 (رقم ھاتف الصم

711.( والبكم:

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Hindi Úयान द: यिद आप िहदीं बोलते ह तो आपके िलए मÝत म भाषा सहायता सेवाए ंउपलÞध ह। 1-800-665-3086 (TTY: 711) þ ø þ øु

पर कॉल कर। þItalian ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-800-665-3086 (TTY: 711).

Portugués ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-800-665-3086 (TTY: 711).

French Creole ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-800-665-3086 (TTY: 711).

Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-800-665-3086 (TTY: 711). Japanese 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-800-665-3086（TTY: 711

）まで、お電話にてご連絡ください。

Hmong Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-LUS CEEV:

665-3086 (TTY: 711).

Farsi 1-800-665-3086 (TTY: توجه: اگر به زبان فارسی گفتگو می کنيد، تسھيلت زبانی بصورت رايگان برای شما فراھم می باشد. با

. تماس بگيريد 711)

Armenian ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք 1-800-665-3086 (TTY (հեռատիպ)՝ 711):

Cambodian របយ័តន៖ េបើសិនជអ� ន�កនិយយ ភសែ� ខម រ, េសវជំនួយែផនកភស េដយមិនគិតឈន លួ គឺអចមនស� ំរប� ់បំេរ�អីន�ក។ ចូ�រ ទូរស័ពទ 1-800-665-3086 (TTY: 711)។

Albanian KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi

në 1-800-665-3086 (TTY: 711).

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Amharic ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-800-665-3086 (መስማት ለተሳናቸው: 711).

Bengali লþý কûনঃ যিদ আপিন বাংলা, কথা বলেত পােরন, তাহেল িনঃখরচায় ভাষা সহায়তা পিরেষবা

উপলä আেছ। áফান কûন ১-800-665-3086 (TTY: 711)।

Cushite (Oromo language) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama.

Bilbilaa 1-800-665-3086 (TTY: 711).

Dutch AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel 1-800-

665-3086 (TTY: 711).

Greek ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 1-800-665-3086 (TTY: 711). Gujarati ુ ુ ુÿચના: જો તમ ેþજરાતી બોલતા હો, તો િન:ýüક ભાષા સહાય સેવાઓ તમારા માટ° ઉપલûધ છે. ફોન કરો 1-

800-665-3086 (TTY: 711).

Kru(Bassa language) Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m [Ɓàsɔɔ-wùɖù-po-nyɔ] jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ ɓɛìn m gbo kpáa. ̀ ̀́� ̀ ̀ ̀ ́Ɖá 1-800-665-3086 (TTY:711) Ibo Ige nti: O buru na asu Ibo asusu, enyemaka diri gi site na call 1-800-665-3086 (TTY: 711).

Yoruba AKIYESI: Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o. E pe ero ibanisoro yi 1-800-665-3086

(TTY: 711).

Laotian ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່

ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-665-3086 (TTY: 711).

Navajo

Nepali Úयान िदनहोस: तपाइरले नेपाली बोãनहÛछ भन ेतपाइरको िनिàत भाषा सहायता सेवाहñ िनःशãक ñपमा उपलÞध छ । ्ु ु ुुफोन गनहोसर 1-800-665-3086 (िटिटवाइ: 711) । ्ु

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Panjabi ਿਧਆਨ ਿਦਓ: ਜੇ ਤਸੁ ਪੰ�ਜਾਬੀ ਬੋਲਦੇ ਹ,ੋ ਤਾ ਭਾਸ਼ਾ ਿਵੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤਹੁਾਡ ੇਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। 1-800-665-3086

(TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ।

Pennsylvania Dutch Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber

gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-800-665-3086 (TTY: 711).

Romanian ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-800-665-3086 (TTY: 711).

Serbo-Croatian OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-800-665-3086 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711). Syriac (Assyrian language)

ܵ ܵܵܿ ܵ ܵ ܿ ܿ ܿ ܵ ܿ ܿ ܿܵܵ ܿ ܵ ܿ ܵܿ ܿ ܿ ܵܿ ܵ ܿ ܼܙܘܗܪܐ: ܐܢ ܐܚܬܘܢ ܟܐ ܗܡܙܡܝܬܘܢ ܠܫܢܐ ܐܬܘܪܝܐ، ܡܨܝܬܘܢ ܕܩܒܠܝܬܘܢ ܚܠܡܬܐ ܕܗܝܪܬܐ ܒܠܫܢܐ ܡܓܢܐܝܬ. ܩܪܘܢ ܥܠ ܵ ܼ ܼ ܸ ܼ� ܼ ܹ� ܼ ܸ ܼ ܼ ܼ ܸ ܼ ܼ ܼ ܼܹܸ ܸܵ ܵ 1-800-665-3086 (TTY: 711) ܸܡܢܝܢܐ

Thai ่เรียน: ถา้คุณพดภาษาไทยคู ุณสามารถใชบร้ ิการชวยเหลือทางภาษาไดฟร้ ี โทร 1-800-665-3086 (TTY: 711).

Tongan FAKATOKANGA’I: Kapau ‘oku ke Lea-Fakatonga, ko e kau tokoni fakatonu lea ‘oku nau fai atu ha tokoni

ta’etotongi, pea teke lava ‘o ma’u ia. Telefoni mai 1-800-665-3086 (TTY: 711).

Ukrainian УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-800-665-3086 (телетайп: 711). Urdu

خبردار: اگر آپ اردو بولتے ہيں، تو آپ کو زبان کی مدد کی خدمات مفت ميں دستياب ہيں ۔ کال کريں (TTY: 711) 1-800 -665-3086

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Y0050_20_MA_74_LRPDIntro_C

Y0050_20_MA_74_LRPDIntro_C es

Molina Medicare Choice Care HMO Plan

Provider Directory

This directory is current as of March 6, 2020.

This directory provides a list of Molina Medicare Choice Care’s current network providers.

This directory is for the State of Utah in the counties of Davis, Salt Lake, Summit, Tooele, Utah

and Weber.

To access Molina Medicare Choice Care’s online provider directory, you can visit

MolinaHealthcare.com/UT-HMOMaterials. For any questions about the information contained in

this directory, please call our Member Services Department at (877) 644-0344, 7 days a week, 8

a.m. to 8 p.m., local time. TTY users should call 711.

This information is available in other formats, such as Braille, large print, and audio.

8

https://MolinaHealthcare.com/UT-HMOMaterials

Section 1 – Introduction

This directory provides a list of Molina Medicare Choice Care network providers. To get

detailed information about your health care coverage, please see your Evidence of Coverage

(EOC).

As a member of Molina Medicare Choice Care, you are restricted to only see providers that are

contracted within this provider-specific plan (PSP). For more information, contact Member

Services.

Network providers are healthcare professionals such as doctors, medical groups, specialists, and

healthcare facilities (i.e. hospitals, durable medical equipment suppliers) that are contracted with

Molina Medicare Choice Care to provide you with covered services. You may use this directory

to help you select a Primary Care Provider, Specialist, Long-Term Services and Support

Provider, Hospital, Skilled Nursing Facility, Outpatient Mental Health Provider and/or

Pharmacy.

Choosing your Primary Care Provider (PCP)

You will have to choose one of our network providers listed in this directory to be your Primary

Care Provider (PCP). Generally, you must get your health care services from your PCP. Your

PCP can be a physician, physician assistant, nurse practitioner, or other health care professional

that meet state requirements and is trained to provide you basic medical care. Healthcare

professionals are eligible to provide you services as a PCP in our Plan, when they are licensed to

practice in areas such as: family medicine, general practice, geriatrics, or internal medicine. Once

you have chosen a PCP, please make sure to transfer all of your medical history to their office, in

order for your PCP to be informed of any medical conditions you may have. Your PCP can help

coordinate your routine medical care, laboratory tests, x-rays, therapies, specialty care, hospital

admissions, and appointments.

The network providers listed in this directory have agreed to provide you with your health care

and supplemental services. You may go to any of our network providers listed in this directory.

However, some services may require a referral. In most situations, if you need specialized

treatment your PCP must give you a “referral” to see a network specialist. If there is a particular

specialist or hospital that you want to use, check first to be sure that your PCP can make referrals

to that specialist or that hospital. A referral is a written order from your PCP to see a specialist or

receive other medical services. It is very important you get a referral from your PCP before you

see a network specialist or other providers. If you do not get a referral you may have to pay for

these services yourself. However, there are a few exceptions such as: women’s preventive

healthcare, flu shots, Hepatitis B vaccinations, pneumonia vaccinations and urgently needed

services.

If you have questions about whether we will pay for a medical service or care that you are

considering, you have the right to ask us whether we will cover it before you get the service or

care.

9

At times, your PCP may request a service that is unavailable or not provided within our network.

Your PCP may need to get an approval ahead of time from Molina Medicare Choice Care to

authorize this service referral. This process is called “prior authorization.” If you have questions

or concerns about a prior authorization, you may call Member Services.

How to change your PCP?

You may change your PCP for any reason, at any time. To change your PCP, simply call

Member Services at (877) 644-03447 days a week, 8 a.m. to 8 p.m., local time. TTY users

should call 711. Member Services will verify if your choice of PCP is accepting new patients.

Once your new PCP has been assigned, you will receive a new member ID card by mail with

your new PCP’s contact information. If your PCP leaves Molina Medicare Choice Care, we will

let you know and help you switch to another PCP so that you can continue to receive covered

services.

Getting care outside the Plan’s service area

You must use network providers except in emergency or urgent care situations or for out-of-area

renal dialysis or other services. If you obtain routine care from out-of-network providers, neither

Medicare nor Molina Medicare Choice Care will be responsible for the costs. However, you

may receive care from out-of-network provider if you are temporarily outside the Plan’s service

area and cannot get care from a network provider or require urgently needed services. If you

have questions whether a service is covered when you are outside the service area, please call

Member Services.

Getting care if you have a medical emergency or an urgent need for care

A “medical emergency” is when you believe that your health is in serious danger. A medical

emergency includes severe pain, a bad injury, a sudden illness, or a medical condition that is

quickly getting much worse. You may get covered emergency medical care whenever you need,

anywhere in the United States. Call 911 for help or go to the nearest emergency room, hospital,

or urgent care center. You don’t need to get approval or a referral first from your doctor or other

network provider.

“Urgent Care” is when you need medical help for an unforeseen illness, injury, or condition, but

your health is not in serious danger. If you have a pressing, non-emergency medical need while

in the service area, call your PCP first. If they are not available, look in this Provider Directory

for an urgent care center. You generally must use network providers (refer to the Evidence of

Coverage).

Out-Of-Network Provider Bills

If you receive services from out-of-network providers, you may get billed directly. Do not pay

this bill. Please make a copy for your records and mail the original statement for processing and

determination of your liability, if any. For more information, please refer to the EOC in Chapter

7.

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What is the service area for Molina Medicare Choice Care?

The counties in our service area are listed below.

Our service area includes these counties: Davis, Salt Lake, Summit, Tooele, Utah and Weber.

How do you find Molina Medicare Choice Care providers that serve in your

area?

To help you select a provider near your area, refer to the Table of Contents in Section 2 at the beginning of this directory. Then, select a provider type from this list: (Primary Care Provider,

Specialist, Hospital, Skilled Nursing Facility, or Outpatient Mental Health Provider.) Afterwards,

in alphabetical format, you may locate providers by county, specialty type (if applicable), city, and zip code.

If you have questions about Molina Medicare Choice Care or require assistance in selecting a

PCP, please call our Member Services Department at (877) 644-0344, 7 days a week, 8 a.m. to 8

p.m., local time. TTY users should call 711. You can also visit

MolinaHealthcare.com/Medicare.

If you need help in scheduling appointments, or finding a provider that is accepting new patients,

please call Member Services at (877) 644-0344, 7 days a week, 8 a.m. to 8 p.m., local time. TTY

users should call 711.

To report any errors throughout this directory, email

[email protected] or call Member Services by using the front

and back cover contact information.

11

https://www.molinahealthcare.com/medicaremailto:[email protected]

Molina Medicare Choice Care HMO Plan

Directorio de proveedores

Este directorio entrará en vigencia a partir de 6 marzo 2020.

Este directorio enumera los proveedores actuales de la red Molina Medicare Choice Care.

Este directorio es para el estado de Utah, en los condados de Davis, Salt Lake, Summit, Tooele,

Utah y Weber.

Para acceder al directorio de proveedores en línea de Molina Medicare Choice Care’s, puede

visitor MolinaHealthcare.com/UT-HMOMaterials. Si tiene preguntas acerca de la información

que este directorio contiene, comuníquese con el Departamento de Servicios para Miembros al

(877) 644-0344, los 7 días de la semana, de 8 a.m. a 8 p.m., hora local. Los usuarios de TTY deberán llamar al 711.

Esta información está disponible en otros formatos, como braille, letra grande y audio.

12

https://MolinaHealthcare.com/UT-HMOMaterials

Sección 1 – Introducción

Este directorio enumera los proveedores actuales de la red Molina Medicare Choice Care. Para

obtener información detallada acerca de su cobertura de salud, consulte su Evidencia de

cobertura (EOC).

Como miembro de Molina Medicare Choice Care usted solo puede consultar a los proveedores

contratados por este plan específico de proveedores (PSP). Para obtener más información, llame

al Departamento de Servicios para Miembros.

Los proveedores de la red son profesionales de atención médica, como médicos, grupos médicos,

especialistas y centros de atención médica (es decir, hospitales, proveedores de equipos médicos

duraderos) que tienen contrato con Molina Medicare Choice Care para prestarle los servicios

cubiertos. Puede usar este directorio para elegir un proveedor de atención primaria, un

especialista, un proveedor de servicios y apoyo a largo plazo, un hospital, un centro de

enfermería especializada, un proveedor de salud mental para pacientes ambulatorios o una

farmacia.

Cómo elegir un proveedor de atención primaria (PCP, por sus siglas en inglés)

Usted tendrá que elegir uno de los proveedores de nuestra red que se presentan en este directorio

como su proveedor de atención primaria (Primary Care Provider, PCP). En general, recibirá los

servicios de atención médica de su PCP. Su PCP puede ser un médico, un médico asociado, un

enfermero practicante u otro profesional de la salud que cumpla los requisitos estatales y esté

capacitado para brindarle atención médica básica. Los profesionales de la salud son elegibles

para prestarle servicios como PCP en nuestro plan si tienen licencia para ejercer en áreas como

las siguientes: medicina de familia, medicina general, geriatría o medicina interna. Una vez que

haya escogido un PCP, asegúrese de transferir a su consultorio toda su historia clínica, a fin de

que el PCP esté al tanto de todas las afecciones médicas que usted pueda tener. Su PCP puede

ayudarle a coordinar su atención médica de rutina con sus análisis de laboratorio, radiografías,

terapias, atención especializada, admisiones al hospital y citas médicas.

Los proveedores de la red que aparecen en este directorio han acordado proporcionarle atención

médica y servicios complementarios. Usted puede recurrir a cualquiera de los proveedores de la

red que aparecen en este directorio. No obstante, algunos servicios pueden requerir de una

remisión.

En la mayoría de las situaciones, si necesita un tratamiento proporcionado por un especialista, su

PCP debe darle una "remisión" para que vaya a ver a un especialista de la red. Si usted desea

consultar a un especialista o usar un hospital en particular, asegúrese de verificar primero que su

PCP pueda hacer remisiones a dicho especialista u hospital. Una remisión es una orden escrita de

su PCP para que vea a un médico especialista o reciba otros servicios médicos. Es muy

importante que obtenga la remisión de su PCP antes de visitar a un especialista de la red o a otros

proveedores. Si no obtiene una remisión, es posible que tenga que pagar por estos servicios usted

mismo. Sin embargo, existen ciertas excepciones, como las siguientes: atención médica

13

preventiva para mujeres, vacunas contra la gripe, vacunas contra la hepatitis B, vacunas contra la

neumonía y servicios requeridos urgentemente.

Si usted tiene alguna duda sobre si pagaremos por algún servicio o por la atención médica que

esté considerando, tiene derecho a preguntar si lo cubriremos antes de recibirlo.

A veces, su PCP puede solicitarle un servicio que no esté disponible o que no se brinde dentro de

nuestra red. Es posible que su PCP tenga que obtener una aprobación con anterioridad de parte

de Molina Medicare Choice Care para autorizar la remisión al servicio. A este proceso se le

llama "autorización previa". Si tiene preguntas o inquietudes acerca de una autorización previa,

llame al Departamento de Servicios para Miembros.

¿Cómo cambiar su PCP? Puede cambiar de PCP por cualquier razón, en cualquier momento. Para cambiar su PCP,

solamente debe llamar al Departamento de Servicios para Miembros al (877) 644-0344 los 7 días

de la semana, de 8 a. m. a 8 p. m., hora local. Los usuarios de TTY deberán llamar al 711. El

Departamento de Servicios para Miembros verificará si el PCP que usted eligió acepta nuevos

pacientes. Una vez que se le haya asignado su nuevo PCP, recibirá una nueva tarjeta de

identificación de miembro por correo con la información de contacto de su PCP. Si su PCP deja

a Molina Medicare Choice Care, usted será informado y le ayudaremos con el cambio a otro

PCP a fin de que pueda continuar recibiendo los servicios cubiertos.

Cómo obtener atención fuera del área del servicio del plan Usted debe utilizar proveedores de la red excepto en emergencias o situaciones de atención de

urgencia, o para diálisis renal u otros servicios fuera del área. Si usted obtiene atención de

proveedores externos a la red, ni Medicare ni Molina Medicare Choice Care serán responsables

de los costos. Sin embargo, podrá recibir atención de un proveedor fuera de la red si se encuentra

temporalmente fuera del área de servicio del plan y no puede obtener atención de un proveedor

de la red, o si requiere servicios urgentes. Si tiene preguntas acerca de si un servicio determinado

está cubierto cuando se encuentra fuera del área de servicio, llame al Departamento de Servicios

para Miembros.

Cómo obtener atención si tiene una emergencia médica o una necesidad

urgente de atención Una "emergencia médica" es cuando usted cree que su salud está en grave peligro. Una

emergencia médica incluye dolor intenso, una lesión grave, una enfermedad repentina o una

afección médica que empeore rápidamente. Usted puede obtener atención médica de emergencia

cubierta cuando lo necesite, en cualquier lugar de los Estados Unidos. Llame al 911 para obtener

ayuda o acuda a la sala de emergencias, hospital o centro de atención médica más cercano. No es

necesario que primero obtenga una aprobación o remisión de su médico u otro proveedor de la

red.

"Atención urgente" es cuando usted necesita ayuda médica debido a una enfermedad, lesión o

afección no prevista, pero su salud no está en grave peligro. Si tiene una necesidad médica

apremiante que no constituya una emergencia mientras se encuentre dentro del área de servicio,

llame primero a su PCP. Si este no se encuentra disponible, busque un centro de cuidado urgente

14

en este directorio de proveedores. En general, deberá usar proveedores de la red (consulte la

Evidencia de cobertura).

Facturas de proveedores fuera de la red Si recibe servicios de parte de proveedores que están fuera de la red, es posible que le facturen

directamente a usted por dichos servicios. No pague esa factura. Haga una copia para sus

registros y envíe la factura original para que la procesemos y determinemos la suma por la cual

es responsable, de haberla. Para obtener más información, consulte el Capítulo 7 de la EOC.

¿Cuál es el área de servicio de Molina Medicare Choice Care? A continuación se incluyen los condados dentro de nuestra área de servicio.

Nuestra área de servicio incluye estos condados: Davis, Salt Lake, Summit, Tooele, Utah y

Weber.

¿Cómo encontrar a los proveedores Molina Medicare Choice Care que

trabajan en su área?

Para seleccionar un proveedor que se encuentre en su zona, consulte el Índice en la Sección 2 al principio de este directorio. Luego, seleccione un proveedor de esta lista: (Proveedor de atención

primaria, especialista, hospital, centro de enfermería especializada o proveedor de salud mental

para pacientes ambulatorios). Después de esto, puede buscar los proveedores en orden alfabético

por condado, tipo de especialidad (si corresponde), ciudad y código postal.

Si tiene preguntas sobre Molina Medicare Choice Care o si requiere ayuda para seleccionar un

PCP, comuníquese con nuestro Departamento de Servicios para Miembros llamando al (877)

644-0344, los 7 días de la semana, de 8 a.m. a 8 p.m., hora local. Los usuarios de TTY deberán

llamar al 711. También puede visitar MolinaHealthcare.com/Medicare.

Si necesita ayuda para programar sus citas o para encontrar un proveedor que acepte nuevos

pacientes, llame al Departamento de Servicios para Miembros al (877) 644-0344, los 7 días de la

semana, de 8 a. m. a 8 p. m. hora local. Los usuarios de TTY deberán llamar al 711.

Para denunciar cualquier error en este directorio, envíe un mensaje de correo electrónico a

[email protected] o llame al Departamento de Servicios para

Miembros usando la información de contacto que aparece en la portada y en la contraportada.

15

https://www.MolinaHealthcare.com/Medicaremailto:[email protected]

Provider and Pharmacy Listing Footer Legend

Provider Symbols

Symbol Reference

∆ Offers Telehealth services

~ Accepting New Patients

* Accepts Medicaid

✤ Accessibility parking, building, elevator,

office, exam room and restroom

Pharmacy Symbols: All pharmacies offer extended day supply unless otherwise noted.

Ө Do not offer Extended Day Supply of

Medication

L Limited Access: Pharmacies may not be

available to all members

Listado de proveedores y farmacias al pie de página

Símbolos del proveedor

Símbolo Referencia

∆ Ofrece servicios de telesalud

~ Aceptando a nuevos pacientes

* Acepta Medicaid

✤ Estacionamiento, instalación, ascensor,

consultorio, cuarto de exploración y baños

accesibles

Símbolos de farmacia: Todas las farmacias ofrecen un suministro diurno extendido, a menos

que se indique lo contrario.

Ө No se ofrece un suministro diurno extendido

del medicamento.

L Acceso limitado: Es posible que las farmacias

no estén disponibles para todos los miembros

17

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Section 2 - List of Network Providers Sección 2 - Lista de los proveedores de la red Section 2 - List of Network Providers Sección 2 - Lista de los proveedores de la red Primary Care Providers / Proveedores de atención primariaDavis County/CondadoTotal Count/Cuenta total: 3108

Utah

Davis

Beckstead, Scott, DO~ Family Medicine NPI: 1508810854 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic Portuguese

Bickel, Tyler, MD~ Internal Medicine NPI: 1861717837 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic

Blackburn, Celia, MD~ Family Medicine NPI: 1205873478 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic

Broadbent, Daniel, MD* Family Medicine NPI: 1699901231 Ogden Clinic - Cope Family Medicine 185 South 400 East Ste 100 Bountiful, UT 84010 (801) 397-6200 Group(s): Ogden Clinic Pc Spanish

Canfield, Charles, MD~* Family Medicine NPI: 1023199825 Charles O Canfield Md Llc 415 South Medical Drive Suite B200 Bountiful, UT 84010 (801) 292-7254 Group(s): Charles O Canfield Md Llc, White Tree Medical Consultants Llc Spanish

Christian, Grant, MD~* Internal Medicine NPI: 1073671442 Internal Medicine 520 Medical Dr Ste 300 Bountiful, UT 84010 (801) 292-1422 Group(s): Bountiful Internal Medicine, Grant L Christian Md Facp, Lakeview Hospital -Medical Group

Christian, Grant, MD~* Internal Medicine NPI: 1073671442 Grant L Christian Md Facp 425 Medical Dr Ste 118 Bountiful, UT 84010 (801) 292-1422 Group(s): Bountiful Internal Medicine, Grant L Christian Md Facp, Lakeview Hospital -Medical Group

Christian, Mark, MD~* Family Medicine NPI: 1184688533 Ogden Clinic - Bountiful 2 620 East Medical Dr Ste 150 Bountiful, UT 84010 (801) 298-4112 Group(s): Ogden Clinic Pc Spanish

Christian, Mark, MD~* Family Medicine NPI: 1184688533 Ogden Clinic - Cope Family Medicine 185 South 400 East Ste 100 Bountiful, UT 84010 (801) 397-6200 Group(s): Ogden Clinic Pc Spanish

Cope, David, MD~* Family Medicine NPI: 1285698241 Ogden Clinic - Bountiful 2 620 East Medical Dr Ste 150 Bountiful, UT 84010 (801) 298-4112 Group(s): Ogden Clinic Pc Afrikaans

Cope, David, MD~* Family Medicine NPI: 1285698241 Ogden Clinic - Cope Family Medicine 185 South 400 East Ste 100 Bountiful, UT 84010 (801) 397-6200 Group(s): Ogden Clinic Pc Afrikaans

Cox, Linda, NP~ Family Nurse Practitioner NPI: 1255353587 Silverton Group Llc 401 South 400 East Bountiful, UT 84010 (801) 295-2361 Group(s): Physician Wound Care And Hyperbaric Service Llc, Silverton Group Llc

Curtis, Ashley, DO~ Family Medicine NPI: 1124400692 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic

18



Primary Care Providers / Proveedores de atención primariaDavis County continued/Condado seguido

Erickson, Scott, MD~* Family Medicine NPI: 1780681775 Scott A Erickson Md Pc 440 South Medical Dr Ste 4 Bountiful, UT 84010 (801) 294-8288 Group(s): Scott A Erickson Md Pc Spanish

Foster, Carla, MD~ Family Medicine NPI: 1841237005 Rocky Mountain Family Practice Llc 1512 South Renaissance Towne Dr Bountiful, UT 84010 (801) 295-6483 Group(s): After Hours Medical Llc, Firstmed North Urgent Care Other Specialties: Urgent Care Clinic

Freestone, Allen, MD~* Family Medicine NPI: 1801850755 Ogden Clinic - Bountiful 2 620 East Medical Dr Ste 150 Bountiful, UT 84010 (801) 298-4112 Group(s): Wade Family Medicine Spanish

Freestone, Allen, MD~* Family Medicine NPI: 1801850755 Wade Family Medicine 557 West 2600 South Bountiful, UT 84010 (801) 298-9155 Group(s): Wade Family Medicine Spanish

Hanna, Allison, DO~* Family Medicine NPI: 1003080409 Wade Family Medicine 557 West 2600 South Bountiful, UT 84010 (801) 298-9155 Group(s): Wade Family Medicine Other Specialties: Emergency Medicine

Hansen, Val, MD~* Internal Medicine NPI: 1235224296 Internal Medicine 520 Medical Dr Ste 300 Bountiful, UT 84010 (801) 292-1422 Group(s): Associates For Inpatient Medicine Llc, Bountiful Internal Medicine, Santibanez Aguirre Pc, Santibanez Aguirre Slc Pc

Hodo, Laura, MD~* Family Medicine NPI: 1922013325 General Pediatrics - Sdch 401 South 400 East Bountiful, UT 84010 (801) 295-2361 Group(s): University Of Utah Pediatric Services, University Of Utah Pediatric Services -1568826055, University Of Utah Pediatric Services-1497116347 Spanish

Horsley, David, MD~ Internal Medicine NPI: 1750320552 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic Portuguese

Horsley, David, MD~ Internal Medicine NPI: 1750320552 Ihc Bountiful Clinic -Medical Specialties 390 North Main St Bountiful, UT 84010 (801) 573-1120 Group(s): Bountiful Clinic Portuguese

Jensen, Joseph, MD~* Internal Medicine NPI: 1710996707 Internal Medicine 520 Medical Dr Ste 300 Bountiful, UT 84010 (801) 292-1422 Group(s): Associates For Inpatient Medicine Llc, Bountiful Internal Medicine, Joseph D Jensen Md Pc, Santibanez Aguirre Pc Italian

Jensen, Joseph, MD* Internal Medicine NPI: 1710996707 Joseph D Jensen Md Pc 425 Medical Dr Ste 116 Bountiful, UT 84010 (801) 292-1422 Group(s): Associates For Inpatient Medicine Llc, Bountiful Internal Medicine, Joseph D Jensen Md Pc, Santibanez Aguirre Pc Italian

Kasteler, Douglas, MD~ Family Medicine NPI: 1659313583 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic Spanish

19




Kernan, Ashley, MD~ Family Medicine NPI: 1346558517 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic, Mckay Physicians Billing

Knowlton, Alisa, MD~ Family Medicine NPI: 1124073556 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic

Leither, Lindsay, DO~* Internal Medicine NPI: 1285878256 Silverton Group Llc 401 South 400 East Bountiful, UT 84010 (801) 295-2361 Group(s): Granger Medical Clinic West Valley, Imed Physicians Billing, Int Heart Cardiology, Lds Hospital Hospitalists

Martindale, Brett, MD~* Family Medicine NPI: 1164860573 Ogden Clinic 1560 Renaissance Town Dr Ste 210 Bountiful, UT 84010 (801) 397-6100 Group(s): Mckay Physicians Billing, Ogden Clinic Pc German

Martindale, Brett, MD~* Family Medicine NPI: 1164860573 Ogden Clinic - Cope Family Medicine 185 South 400 East Ste 100 Bountiful, UT 84010 (801) 397-6200 Group(s): Mckay Physicians Billing, Ogden Clinic Pc German

Mathews, James, DO~* Family Medicine NPI: 1518113216 Connected Medical Group Llc 415 Medical Drive Ste A100 Bountiful, UT 84010 (435) 535-1668 Group(s): Connected Medical Group Llc, James Dennis Mathews Do Pc, Mountainstar Medical Group Cache Valley Llc German

Merrell, Stephen, MD~* Family Medicine NPI: 1003174129 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic, Tanner Memorial Clinic Spanish

Middleton, Elizabeth, MD~* Internal Medicine NPI: 1508010174 Silverton Group Llc 401 South 400 East Bountiful, UT 84010 (801) 295-2361 Group(s): Silverton Group Llc, University Of Utah Acuity Care, University Of Utah Adult Services -1093119893

Muscolino, Gina, MD~* Obstetrics & Gynecology NPI: 1194825117 Lakeview Obgyn 620 East Medical Dr Ste 340 Bountiful, UT 84010 (801) 299-2229 Group(s): Lakeview Hospital Physician Services Llc Spanish

Oaks, Joshua, MD~* Internal Medicine NPI: 1205221405 Internal Medicine 520 Medical Dr Ste 300 Bountiful, UT 84010 (801) 292-1422 Group(s): Bountiful Internal Medicine, Santibanez Aguirre Pc Bulgarian

Pead, William, MD~ Obstetrics & Gynecology NPI: 1639103252 William G Pead Md 390 North Main St Bountiful, UT 84010 (801) 397-6600 Group(s): William G Pead Md

Peterson, Bryce, MD~* Family Medicine NPI: 1932417300 Ogden Clinic - Bountiful 2 620 East Medical Dr Ste 150 Bountiful, UT 84010 (801) 298-4112 Group(s): Bear River Hospital Physicians Group 1518978733, Ogden Clinic Pc

20




Peterson, Bryce, MD~* Family Medicine NPI: 1932417300 Ogden Clinic - Cope Family Medicine 185 South 400 East Ste 100 Bountiful, UT 84010 (801) 397-6200 Group(s): Bear River Hospital Physicians Group 1518978733, Ogden Clinic Pc

Phelps, Nathan, MD~* Family Medicine NPI: 1255628996 Internal Medicine 520 Medical Dr Ste 300 Bountiful, UT 84010 (801) 292-1422 Group(s): Bountiful Internal Medicine Portuguese, Spanish

Pozniak, Sarah, MD~ Internal Medicine NPI: 1316383151 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic

Pozniak, Sarah, MD~ Internal Medicine NPI: 1316383151 Ihc Bountiful Clinic -Medical Specialties 390 North Main St Bountiful, UT 84010 (801) 573-1120 Group(s): Bountiful Clinic

Rigby, Rohn, MD~* Family Medicine NPI: 1437283553 Ogden Clinic 1560 Renaissance Town Dr Ste 210 Bountiful, UT 84010 (801) 397-6100 Group(s): Ogden Clinic Pc Korean

Rigby, Rohn, MD~* Family Medicine NPI: 1437283553 Ogden Clinic - Bountiful Mountain View 1551 S Renaissance Towne Dr Ste 310 Bountiful, UT 84010 (801) 295-5581 Group(s): Ogden Clinic Pc Korean

Rivera, Celine, MD~* Internal Medicine NPI: 1407052772 Internal Medicine 520 Medical Dr Ste 300 Bountiful, UT 84010 (801) 292-1422 Group(s): Bountiful Internal Medicine, Ogden Internal Medicine & Urology Llc

Robinson, Sandra, NP~* Family Nurse Practitioner NPI: 1689001216 Ogden Clinic 1560 Renaissance Town Dr Ste 210 Bountiful, UT 84010 (801) 397-6100 Group(s): Ogden Clinic Pc

Robinson, Sandra, NP~* Family Nurse Practitioner NPI: 1689001216 Ogden Clinic - Bountiful 2 620 East Medical Dr Ste 150 Bountiful, UT 84010 (801) 298-4112 Group(s): Ogden Clinic Pc

Rodgers, Brian, DO~* Family Medicine NPI: 1629008065 Family Healthcare 425 Medical Dr Ste 205 Bountiful, UT 84010 (801) 298-3812 Group(s): Bountiful Family Healthcare Creole

Sandberg, Rebecca, NP~* Family Nurse Practitioner NPI: 1982668414 Ogden Clinic - Bountiful 2 620 East Medical Dr Ste 150 Bountiful, UT 84010 (801) 298-4112 Group(s): Ogden Clinic Pc

Sandberg, Rebecca, NP~* Family Nurse Practitioner NPI: 1982668414 Ogden Clinic - Cope Family Medicine 185 South 400 East Ste 100 Bountiful, UT 84010 (801) 397-6200 Group(s): Ogden Clinic Pc

Schow, Brent, NP~* Primary Care Nurse Practitioner NPI: 1902255599 Connected Medical Group Llc 415 Medical Drive Ste A100 Bountiful, UT 84010 (435) 535-1668 Group(s): Connected Medical Group Llc Spanish

Severn, Ernest, DO~* Family Medicine NPI: 1326080847 Davis Medical Group 386 North Main St Bountiful, UT 84010 (801) 927-3099 Group(s): Physicians Group Of Utah Inc, Riverton Family Health Center

Smith, Maureen, NP~ Family Nurse Practitioner NPI: 1730111311 Nephrology Associates -Wood Cross 572 W 750 S Bountiful, UT 84010 (801) 288-2634 Group(s): American Fork Instacare, Lehi Instacare, Nephrology Associates, North Orem Instacare Other Specialties: Nephrology, Urgent Care Clinic

21




Southworth, Scott, MD~* Internal Medicine NPI: 1972602910 Internal Medicine 520 Medical Dr Ste 300 Bountiful, UT 84010 (801) 292-1422 Group(s): Associates For Inpatient Medicine Llc, Bountiful Internal Medicine, Santibanez Aguirre Pc German

Southworth, Scott, MD~* Internal Medicine NPI: 1972602910 Lakeview Internal Medicine And Surgery 520 East Medical Dr Ste 200 Bountiful, UT 84010 (801) 294-9333 Group(s): Associates For Inpatient Medicine Llc, Bountiful Internal Medicine, Santibanez Aguirre Pc German

Steely, June, MD~ Internal Medicine NPI: 1891733374 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic

Steely, June, MD~ Internal Medicine NPI: 1891733374 Ihc Bountiful Clinic -Medical Specialties 390 North Main St Bountiful, UT 84010 (801) 573-1120 Group(s): Bountiful Clinic

Swahn, Ann-Kristin, NP~* Family Nurse Practitioner NPI: 1710545603 Connected Medical Group Llc 415 Medical Drive Ste A100 Bountiful, UT 84010 (435) 535-1668 Group(s): Connected Medical Group Llc, Tanner Memorial Clinic, Wasatch Allergy And Asthma Spanish

Van Staden, Gavin, MD~* Family Medicine NPI: 1841380433 Woodmead Medical Clinic 3263 South Hwy 89 Ste 300 Bountiful, UT 84010 (801) 213-3200 Group(s): Gavin Van Staden Md Pc, University Of Utah Community Physician Services -1124422126 Other Specialties: Emergency Medicine

Vande Merwe, David, MD~ Family Medicine NPI: 1003859547 Ihc Clinic 390 North Main St Bountiful, UT 84010 (801) 397-6300 Group(s): Bountiful Clinic

Vande Merwe, David, MD~ Family Medicine NPI: 1003859547 Ihc Bountiful Clinic -Family Medicine 390 North Main St Bountiful, UT 84010 (801) 397-6301 Group(s): Bountiful Clinic

Wade, Ralph, DO~* Family Medicine NPI: 1447256953 Wade Family Medicine 557 West 2600 South Bountiful, UT 84010 (801) 298-9155 Group(s): Wade Family Medicine

Ward, Raymond, MD~* Family Medicine NPI: 1043273386 Ogden Clinic - Bountiful 2 620 East Medical Dr Ste 150 Bountiful, UT 84010 (801) 298-4112 Group(s): Ogden Clinic Pc Other Specialties: Urgent Care Clinic Spanish

Ward, Raymond, MD~* Family Medicine NPI: 1043273386 Ogden Clinic - Cope Family Medicine 185 South 400 East Ste 100 Bountiful, UT 84010 (801) 397-6200 Group(s): Ogden Clinic Pc Other Specialties: Urgent Care Clinic Spanish

Warren, Steven, MD~* Family Medicine NPI: 1366421729 Steven E Warren Md Pc Llc 4790 Hidden Lake Dr Bountiful, UT 84010 (801) 652-8613 Group(s): Adult Care Clinic Inc, Steven E Warren Md Pc Llc

White, Charles, MD~* Family Medicine NPI: 1366486805 Lakeview Hospital -Service 630 East Medical Dr Bountiful, UT 84010 (801) 292-6231 Group(s): Emergency Physician Integrated Care Llc (Epic), North Canyon Family Medicine And Aesthetics Llc, University Of Utah Community Physician Services -1124422126

22




Zaugg, Laura, CNM~* Advanced Practice Midwife NPI: 1598831604 Lakeview Obgyn 620 East Medical Dr Ste 340 Bountiful, UT 84010 (801) 299-2229 Group(s): Lakeview Hospital Physician Services Llc

Abdikadir, Hafsa, NP~* Primary Care Nurse Practitioner NPI: 1184184863 Uuhc Centerville Urgent Care 26 South Main St Centerville, UT 84014 (801) 693-7900 Group(s): South Summit Pediatrics Llc, University Of Utah Community Physician Services -1124422126 Swahili, Somali

Anisman, David, MD~ Family Medicine NPI: 1346235793 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Anisman, David, MD~ Family Medicine NPI: 1346235793 Uuhc Centerville Health Center 26 South Main St. Centerville, UT 84014 (801) 213-8844 Group(s): University Of Utah Community Physician Services -1124422126

Borrelli, Tillie, NP~* Family Nurse Practitioner NPI: 1154872539 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): Gregory Iverson Family Medicine Pllc, University Of Utah Community Physician Services - 1124422126 Spanish

Bosch, Clarivette, MD~* Family Medicine NPI: 1245320860 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Burt, Rebecca, NP~* Family Nurse Practitioner NPI: 1528589579 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Campbell, Aaron, MD~ Family Medicine NPI: 1841444759 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): Emergency Physician Integrated Care Llc (Epic), University Of Utah Community Physician Services -1124422126 Spanish

Cetton, Gregory, MD~* Family Medicine NPI: 1760456370 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Decker, Jocelyn, NP~* Family Nurse Practitioner NPI: 1003245689 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126 Other Specialties: Nurse Practitioner

Eggett, Clare, NP~ Adult Health Nurse Practitioner NPI: 1568725760 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Fixmer, Jared, MD~* Family Medicine NPI: 1881828622 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

23




Fleck, Mary, NP~ Family Nurse Practitioner NPI: 1285018408 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Grange, Angela, NP~* Family Nurse Practitioner NPI: 1437702925 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): Exodus Healthcare Network Pllc, University Of Utah Community Physician Services - 1124422126

Grover, Crystal, NP~* Family Nurse Practitioner NPI: 1346690799 U Of U Reproductive Endocrinology 26 South Main St Centerville, UT 84014 (801) 693-7900 Group(s): University Of Utah Community Physician Services -1124422126

Haight, Tara, NP~ Family Nurse Practitioner NPI: 1891136479 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): Mobile Medical Examination Services Inc, University Of Utah Community Physician Services - 1124422126 American Sign Language

Hastings, Katherine, MD~* Family Medicine NPI: 1528358363 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Jetter, Tawni, NP~ Family Nurse Practitioner NPI: 1346579687 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Johnstone, Erica, MD~* Obstetrics & Gynecology NPI: 1487773263 U Of U Reproductive Endocrinology 26 South Main St Centerville, UT 84014 (801) 693-7900 Group(s): University Of Utah Adult Services, University Of Utah Pediatric Services 1568826048

Jones, Kyle, MD~* Family Medicine NPI: 1568697241 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Behavioral Health Services1962866095, University Of Utah Community Physician Services - 1124422126 Russian

Joseph, Laurene, MD~* Internal Medicine NPI: 1629145123 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): St Marks Physician Billing Llc, St Marks Professional Services Llc, University Of Utah Community Physician Services -1124422126 Hebrew

Joyner, James, MD~ Family Medicine NPI: 1245643642 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Adult Services, University Of Utah Community Physician Services - 1124422126

Kelly, Brian, NP~ Family Nurse Practitioner NPI: 1518307669 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Kiraly, Bernadette, MD~* Family Medicine NPI: 1508956111 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

24




Knox, Jordan, MD~* Family Medicine NPI: 1396130902 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Adult Services, University Of Utah Community Physician Services - 1124422126

Lerman, Julie, MD~* Family Medicine NPI: 1477900793 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Mcnamara, Sean, MD~ Family Medicine NPI: 1821484304 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): Bountiful Instacare, Cottonwood Instacare, Memorial Instacare, Salt Lake Instacare Other Specialties: Urgent Care Clinic

Mitchell, Jessica, NP~ Family Nurse Practitioner NPI: 1780067561 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Morrill, Arnold, DO~ Family Medicine NPI: 1548252950 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126 Japanese

Morrill, Arnold, DO~ Family Medicine NPI: 1548252950 Uuhc Centerville Health Center 26 South Main St. Centerville, UT 84014 (801) 213-8844 Group(s): University Of Utah Community Physician Services -1124422126 Japanese

Nelson, Anthony, NP~ Family Nurse Practitioner NPI: 1720532617 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126 Spanish

Nguyen, Kirstin, APRN~ Family Nurse Practitioner NPI: 1467762716 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Pantelakis, Jennifer, NP~* Family Nurse Practitioner NPI: 1467805135 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Adult Services, University Of Utah Community Physician Services - 1124422126

Pehrson, Caitlin, NP~* Family Nurse Practitioner NPI: 1669814117 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Pena-Renteria, Issac, PA~* Physician Assistant NPI: 1356852719 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 693-7900 Group(s): University Of Utah Community Physician Services -1124422126 Other Specialties: Family Medicine Spanish

Pham, Marian, MD~ Internal Medicine NPI: 1285667980 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126 Vietnamese

25




Pham, Marian, MD~ Internal Medicine NPI: 1285667980 Uuhc Centerville Health Center 26 South Main St. Centerville, UT 84014 (801) 213-8844 Group(s): University Of Utah Community Physician Services -1124422126 Vietnamese

Pohl, Susan, MD~* Family Medicine NPI: 1043271422 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Prince, Victoria, MD~* Family Medicine NPI: 1942627922 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Rinne, Kirsti, CNM~* Advanced Practice Midwife NPI: 1033410394 University Of Utah Hospital Dept Of Ob/Gyn 26 South Main St Centerville, UT 84014 (801) 693-7900 Group(s): Intermountain Nurse Midwives, University Of Utah Adult Services, University Of Utah Adult Services -1477957272, University Of Utah Adult Services -1548665417 Other Specialties: Women's Health Nurse Practitioner

Rose, Susan, MD~* Obstetrics & Gynecology NPI: 1518088087 University Of Utah Hospital Dept Of Ob/Gyn 26 South Main St Centerville, UT 84014 (801) 693-7900 Group(s): Avenues Womens Center Ihc, Bountiful Clinic, University Of Utah Adult Services - 1477957272, University Of Utah Adult Services - 1548665417

Rowley, Jennifer, NP~* Family Nurse Practitioner NPI: 1578018834 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Adult Services, University Of Utah Community Physician Services - 1124422126

Salari, Ali, DO~ Family Medicine NPI: 1598898579 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Stallings, Scott, MD~* Family Medicine NPI: 1700818259 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126 Spanish

Stoker, Bradley, DO~* Family Medicine NPI: 1306283056 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): Holladay Instacare, Taylorsville Instacare, Taylorsville Kidscare, University Of Utah Community Physician Services -1124422126

Taylor, Phillip, NP~ Family Nurse Practitioner NPI: 1407294903 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126 Other Specialties: Nurse Practitioner Portuguese

Thomas, Matthew, NP~* Family Nurse Practitioner NPI: 1184008039 U Of U Reproductive Endocrinology 26 South Main St Centerville, UT 84014 (801) 693-7900 Group(s): University Of Utah Community Physician Services -1124422126 Spanish

26




Tuttle, Cristine, NP~* Adult Health Nurse Practitioner NPI: 1700929338 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Adult Services -1093119893, University Of Utah Community Physician Services -1124422126

Vietor, Brook, NP~* Family Nurse Practitioner NPI: 1508246844 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

White, Charles, MD~* Family Medicine NPI: 1366486805 Uuhc Centerville Health Center 26 South Main St. Centerville, UT 84014 (801) 213-8844 Group(s): Emergency Physician Integrated Care Llc (Epic), North Canyon Family Medicine And Aesthetics Llc, University Of Utah Community Physician Services -1124422126

Woodcock, Celia, NP~ Family Nurse Practitioner NPI: 1538124623 Uuhc Centerville Health Center 26 South Main St Centerville, UT 84014 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Zeljkovic, Mehmed, PA~* Physician Assistant NPI: 1871068320 Uuhc Centerville Urgent Care 26 South Main St Centerville, UT 84014 (801) 693-7900 Group(s): University Of Utah Acuity Care -1316341456, University Of Utah Community Physician Services -1124422126 Other Specialties: Family Medicine Bosnian

Arrington, Sara, NP~* Family Nurse Practitioner NPI: 1093960668 Legacy Point Family Medicine Center - West Point 3110 West 300 North Ste A Clearfield, UT 84015 (801) 614-5140 Group(s): Heart And Soul Family Medicine

Breen, Annamarie, NP~* Family Nurse Practitioner NPI: 1720442775 Legacy Point Family Medicine Center 81 North 2000 West F-2 Clearfield, UT 84015 (801) 614-5143 Group(s): Physicians Group Of Utah Inc, Westside Medical Clinic

Carter, Stacie, CNM~* Advanced Practice Midwife NPI: 1710180591 Legacy Point Womens Center 3110 West 300 North Ste B Clearfield, UT 84015 (801) 614-5270 Group(s): Physicians Group Of Utah Inc, Rocky Mountain Womens Health Center, Stacie Carter Gibbins

Durtschi, Ronald, MD~* Family Medicine NPI: 1780063313 Legacy Point Family Medicine Center 81 North 2000 West F-2 Clearfield, UT 84015 (801) 614-5143 Group(s): Physicians Group Of Utah Inc

Gregoire, Richard, MD~* Family Medicine NPI: 1528066149 Midtown Community Health Center 22 South State St Ste 1007 Clearfield, UT 84015 (801) 393-5355 Group(s): Midtown Community Health Center Spanish

Julien, Craig, MD~* Family Medicine NPI: 1245340173 Legacy Point Family Medicine Center - West Point 3110 West 300 North Ste A Clearfield, UT 84015 (801) 614-5140 Group(s): Physicians Group Of Utah Inc Spanish

Monroy, Carissa, MD~* Family Medicine NPI: 1760610349 Midtown Community Health Center 22 South State St Ste 1007 Clearfield, UT 84015 (801) 393-5355 Group(s): Midtown Community Health Center Spanish

27




Sprague, Brittany, NP~* Family Nurse Practitioner NPI: 1912427584 Legacy Point Family Medicine Center 81 North 2000 West F-2 Clearfield, UT 84015 (801) 614-5143 Group(s): Physicians Group Of Utah Inc

Amante, Heather, APRN~* Family Nurse Practitioner NPI: 1386937035 Freedom Healthcare 1448 North 2000 West Ste 11 Clinton, UT 84015 (801) 825-6597 Group(s): Freedom Healthcare Llc

Breen, Annamarie, NP~* Family Nurse Practitioner NPI: 1720442775 Westside Medical Clinic 1477 N 2000 W Ste C Ste C Clinton, UT 84015 (801) 773-4840 Group(s): Physicians Group Of Utah Inc, Westside Medical Clinic

Dixon, Tyler, DO~* Family Medicine NPI: 1144339904 Westside Medical Clinic 1477 N 2000 W Ste C Ste C Clinton, UT 84015 (801) 773-4840 Group(s): Tanner Memorial Clinic, Westside Medical Clinic Portuguese, Spanish

Goodrich, Mark, PA~ Physician Assistant NPI: 1356447882 Westside Medical Clinic 1477 N 2000 W Ste C Ste C Clinton, UT 84015 (801) 773-4840 Group(s): Westside Medical Clinic Other Specialties: Family Medicine

Hogan, Eric, DO~* Family Medicine NPI: 1669769451 Westside Medical Clinic 1477 N 2000 W Ste C Ste C Clinton, UT 84015 (801) 773-4840 Group(s): Tanner Memorial Clinic, Westside Medical Clinic Spanish

Jorgensen, Mark, MD~* Family Medicine NPI: 1407083710 Westside Medical Clinic 1477 N 2000 W Ste C Ste C Clinton, UT 84015 (801) 773-4840 Group(s): Tanner Memorial Clinic, Westside Medical Clinic Spanish

Landberg, Jennifer, NP~* Family Nurse Practitioner NPI: 1922501139 Freedom Healthcare 1448 North 2000 West Ste 11 Clinton, UT 84015 (801) 825-6597 Group(s): Freedom Healthcare Llc

Swahn, Ann-Kristin, NP~* Family Nurse Practitioner NPI: 1710545603 Tanner Memorial Clinic 1477 North 2000 West Clinton, UT 84015 (801) 773-4840 Group(s): Connected Medical Group Llc, Tanner Memorial Clinic, Wasatch Allergy And Asthma Spanish

Wooden, Kenzlee, NP~* Adult Health Nurse Practitioner NPI: 1043851116 Freedom Healthcare 1448 North 2000 West Ste 11 Clinton, UT 84015 (801) 825-6597 Group(s): Freedom Healthcare Llc

Abdikadir, Hafsa, NP~* Primary Care Nurse Practitioner NPI: 1184184863 Uuhc Farmington Urgent Care 165 N University Ave Farmington Farmington, UT 84025 (801) 213-3200 Group(s): South Summit Pediatrics Llc, University Of Utah Community Physician Services -1124422126 Swahili, Somali

Anisman, David, MD~ Family Medicine NPI: 1346235793 Sleep Medicine -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Community Physician Services -1124422126

Anisman, David, MD~ Family Medicine NPI: 1346235793 Uuhc Farmington Health Center 291 South 200 West Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Community Physician Services -1124422126

28




Barrett, John, MD~* Family Medicine NPI: 1487688552 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): Cache Valley Hospital - Medical Group, University Of Utah Community Physician Services - 1124422126, Valley Physician Group Pc Other Specialties: Emergency Medicine

Blaser, Brett, DO~* Family Medicine NPI: 1538471313 Orn Industries, Llc 722 West Shepard Ln Ste 102 Farmington, UT 84025 (385) 988-3965 Group(s): Lakeview Internal Medicine Llc, Mountainstar Medical Group - Ormc Llc, Orn Industries, Llc, Teladoc Physicians Pa

Breen, Annamarie, NP~* Family Nurse Practitioner NPI: 1720442775 Pgu - Family Medicine 1401 North 1075 West Ste 220 Farmington, UT 84025 (801) 451-4538 Group(s): Physicians Group Of Utah Inc, Westside Medical Clinic

Broadbent, Daniel, MD~* Family Medicine NPI: 1699901231 Ogden Clinic 991 Shepard Ln Ste 200 Farmington, UT 84025 (801) 397-6080 Group(s): Ogden Clinic Pc Spanish

Burt, Rebecca, NP~* Family Nurse Practitioner NPI: 1528589579 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Byrd, Amanda, NP~* Family Nurse Practitioner NPI: 1316399306 Pgu - Family Medicine 1401 North 1075 West Ste 220 Farmington, UT 84025 (801) 451-4538 Group(s): Physicians Group Of Utah Inc

Campbell, Aaron, MD~ Family Medicine NPI: 1841444759 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): Emergency Physician Integrated Care Llc (Epic), University Of Utah Community Physician Services -1124422126 Spanish

Cetton, Gregory, MD~* Family Medicine NPI: 1760456370 Farmington Health Center- Spc 165 North University Ave Farmington, UT 84025 (801) 213-8841 Group(s): University Of Utah Community Physician Services -1124422126

Chappell, Daniel, DO~* Family Medicine NPI: 1235440157 Ogden Clinic 991 Shepard Ln Ste 200 Farmington, UT 84025 (801) 397-6080 Group(s): Emergency Physician Integrated Care Llc (Epic), Ogden Clinic Pc French, Malagasy, Creole

Christensen, Lane, NP~* Family Nurse Practitioner NPI: 1336413939 Ogden Clinic 991 Shepard Ln Ste 200 Farmington, UT 84025 (801) 397-6080 Group(s): Ogden Clinic Pc

Cohen, Susanna, CNM~* Advanced Practice Midwife NPI: 1033391552 College Of Nursing -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): Layton Parkway Obgyn, University Of Utah Adult Services -1477957272, University Of Utah Adult Services-1578961447 Spanish

Decker, Jocelyn, NP~* Family Nurse Practitioner NPI: 1003245689 Sleep Medicine -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Community Physician Services -1124422126 Other Specialties: Nurse Practitioner

29




Eggett, Clare, NP~ Adult Health Nurse Practitioner NPI: 1568725760 Sleep Medicine -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Community Physician Services -1124422126

Eggett, Clare, NP~ Adult Health Nurse Practitioner NPI: 1568725760 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Fixmer, Jared, MD~* Family Medicine NPI: 1881828622 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Fleck, Mary, NP~ Family Nurse Practitioner NPI: 1285018408 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Gosselin, Ramsey, NP~* Family Nurse Practitioner NPI: 1083140479 Lakeview Internal Medicine Llc 444 West Bourne Cir Ste 101 Farmington, UT 84025 (801) 294-9333 Group(s): Lakeview Internal Medicine Llc

Gosselin, Ramsey, NP~* Family Nurse Practitioner NPI: 1083140479 Mountain Star Medical Group 140 North Union Ave Ste F 300 Farmington, UT 84025 (801) 294-9333 Group(s): Lakeview Internal Medicine Llc

Grange, Angela, NP~* Family Nurse Practitioner NPI: 1437702925 Uuhc Farmington Urgent Care 165 N University Ave Farmington Farmington, UT 84025 (801) 213-3200 Group(s): Exodus Healthcare Network Pllc, University Of Utah Community Physician Services - 1124422126

Greenwood, Jessica, MD~* Family Medicine NPI: 1982638250 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Adult Services, University Of Utah Community Physician Services - 1124422126 Spanish

Grover, Crystal, NP~* Family Nurse Practitioner NPI: 1346690799 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Hagen, Sarah, CNM~* Advanced Practice Midwife NPI: 1063677276 College Of Nursing -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): Intermountain Nurse Midwives, Layton Parkway Obgyn, University Of Utah Adult Services - 1477957272, University Of Utah Adult Services-1578961447

Haight, Tara, NP~ Family Nurse Practitioner NPI: 1891136479 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): Mobile Medical Examination Services Inc, University Of Utah Community Physician Services - 1124422126 American Sign Language

30




Harmer, Elizabeth, CNM~* Advanced Practice Midwife NPI: 1992736342 College Of Nursing -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Adult Services -1548665417, University Of Utah Adult Services-1578961447 Spanish

Hibbard, Julie, MD~* Family Medicine NPI: 1457312845 Pgu - Family Medicine 1401 North 1075 West Ste 220 Farmington, UT 84025 (801) 451-4538 Group(s): Physicians Group Of Utah Inc, Tanner Memorial Clinic

Jenkins, Hans, DO~* Family Medicine NPI: 1316932866 Orn Industries, Llc 722 West Shepard Ln Ste 102 Farmington, UT 84025 (385) 988-3965 Group(s): Mountainstar Medical Group - Ormc Llc, Orn Industries, Llc

Jetter, Tawni, NP~ Family Nurse Practitioner NPI: 1346579687 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Jones, Kyle, MD~* Family Medicine NPI: 1568697241 Farmington Health Center- Spc 165 North University Ave Farmington, UT 84025 (801) 213-8841 Group(s): University Of Utah Behavioral Health Services1962866095, University Of Utah Community Physician Services - 1124422126 Russian

Jones, Kyle, MD~* Family Medicine NPI: 1568697241 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Behavioral Health Services1962866095, University Of Utah Community Physician Services - 1124422126 Russian

Joseph, Laurene, MD~* Internal Medicine NPI: 1629145123 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): St Marks Physician Billing Llc, St Marks Professional Services Llc, University Of Utah Community Physician Services -1124422126 Hebrew

Kelly, Brian, NP~ Family Nurse Practitioner NPI: 1518307669 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

King, Julie, CNM~* Advanced Practice Midwife NPI: 1235221227 Sleep Medicine -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Adult Services -1477957272, University Of Utah Adult Services-1578961447

Kunkel, Gary, MD~* Family Medicine NPI: 1598855108 Rheumatology 165 North University Ave Farmington, UT 84025 (801) 581-7724 Group(s): University Of Utah Adult Services

Loveridge, Danica, CNM~* Advanced Practice Midwife NPI: 1205211570 Sleep Medicine -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Adult Services -1477957272, University Of Utah Adult Services-1578961447

Mcnamara, Sean, MD~ Family Medicine NPI: 1821484304 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): Bountiful Instacare, Cottonwood Instacare, Memorial Instacare, Salt Lake Instacare Other Specialties: Urgent Care Clinic

31




Miller, Paige, CNM~* Advanced Practice Midwife NPI: 1942718341 College Of Nursing -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Adult Services-1578961447

Mitchell, Jessica, NP~ Family Nurse Practitioner NPI: 1780067561 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Morrill, Arnold, DO~ Family Medicine NPI: 1548252950 Sleep Medicine -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Community Physician Services -1124422126 Japanese

Morrill, Arnold, DO~ Family Medicine NPI: 1548252950 Uuhc Farmington Health Center 291 South 200 West Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Community Physician Services -1124422126 Japanese

Nelson, Amy, CNM~ Advanced Practice Midwife NPI: 1902824980 College Of Nursing -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Adult Services -1477957272, University Of Utah Adult Services -1548665417, University Of Utah Adult Services-1578961447 Spanish

Nelson, Anthony, NP~ Family Nurse Practitioner NPI: 1720532617 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126 Spanish

Nielson, Jessinna, NP~* Family Nurse Practitioner NPI: 1700427382 Orn Industries, Llc 722 West Shepard Ln Ste 102 Farmington, UT 84025 (385) 988-3965 Group(s): Orn Industries, Llc

Pehrson, Caitlin, NP~* Family Nurse Practitioner NPI: 1669814117 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Pena-Renteria, Issac, PA~* Physician Assistant NPI: 1356852719 Uuhc Farmington Urgent Care 165 N University Ave Farmington Farmington, UT 84025 (801) 213-3200 Group(s): University Of Utah Community Physician Services -1124422126 Other Specialties: Family Medicine Spanish

Pohl, Susan, MD~* Family Medicine NPI: 1043271422 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Prince, Victoria, MD~* Family Medicine NPI: 1942627922 Uuhc Farmington Health Center - Family Medicine 165 North University Ave Farmington, UT 84025 (801) 213-4500 Group(s): University Of Utah Community Physician Services -1124422126

Rinne, Kirsti, CNM~* Advanced Practice Midwife NPI: 1033410394 College Of Nursing -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): Intermountain Nurse Midwives, University Of Utah Adult Services, University Of Utah Adult Services -1477957272, University Of Utah Adult Services -1548665417 Other Specialties: Women's Health Nurse Practitioner

32




Rizk, Abigail, CNM~* Advanced Practice Midwife NPI: 1487733986 Sleep Medicine -Farmington Health Center 165 North University Ave Farmington, UT 84025 (801) 213-3200 Group(s): Layton Parkw