Melissa J Bentley (NPI# 1639354897, PAC ID# 2961556261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639354897 |
| PAC ID by PECOS | 2961556261 |
| Professional Enrollment ID | I20181011000143 |
| Full Name | Melissa J Bentley |
| Organization Legal Name | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION |
| Address |
660 S 200 E Salt Lake City UT 84111-3846 |
| Phone Number | 8013952256 |
| Gender | F |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0042451650 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 660 S 200 E, Salt Lake City, UT 84111-3846 | 8013952256 | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION |
| 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 | 8013952256 | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Neilson | Physical Therapy | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Paula M Weaver | Physician Assistant | Confederated Tribes of The Goshute Reservation | 195 Tribal Ctr Rd, Ibapah, UT 84034 |
| Lindsay J Roper | Physical Therapy | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Leon H Butler | Psychologist, Clinical | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Gary J Teare | Physician Assistant | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Matthew Lewis | Registered Dietitian Or Nutrition Professional | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Thomas Vance Eddy | Podiatry | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Elizabeth Annas | Physical Therapy | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Kristi L Lawrence | Nurse Practitioner | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Megan H Kimberly | Nurse Practitioner | Confederated Tribes of The Goshute Reservation | 660 S 200 E, Salt Lake City, UT 84111-3846 |
| Street Address |
660 S 200 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84111-3846 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Neilson | Physical Therapy | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Lindsay J Roper | Physical Therapy | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Leon H Butler | Psychologist, Clinical | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Gary J Teare | Physician Assistant | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Matthew Lewis | Registered Dietitian Or Nutrition Professional | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Thomas Vance Eddy | Podiatry | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Elizabeth Annas | Physical Therapy | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Kristi L Lawrence | Nurse Practitioner | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Healthcare, Salt Lake City, UT 84111-3846 |
| Megan H Kimberly | Nurse Practitioner | Confederated Tribes of The Goshute Reservation | 660 S 200 E, Salt Lake City, UT 84111-3846 |
| Tyler G Coe | Nurse Practitioner | Confederated Tribes of The Goshute Reservation | 660 S 200 E, 250 Sacred Circle Health Care, Salt Lake, UT 84111-3846 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Dale Taylor | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
| James Farthing Leonard | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
| Dustin J Hedstrom | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
| John Corbaley | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
| Page Speiser | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
| Carolyn K Scott | Clinical Social Worker | Carolyn K Scott Lcsw PC | 275 E S Temple St, Salt Lake City, UT 84111-1243 |
| Kathleen Fitzwilliam Lakey | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
| Marybeth Raynes | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
| Merritt W Stites | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
| Carrie L Kelley | Psychologist, Clinical | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
| Find all physicians in zip 84111 | |||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SALT LAKE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Melissa J Bentley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.