Mrs Breony Stoddard, PA-C - Medicare Physician Assistant in Draper, UT

Mrs Breony Stoddard, PA-C is a medicare enrolled "Physician Assistant - Medical" in Draper, Utah. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mountainstar Medical Group-st. Marks Hospital Llc and her current practice location is 74 E Kimballs Ln Ste 260, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 545-8480.

Mrs Breony Stoddard is licensed to practice in Utah (license number 70914401206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578711057.

Contact Information

Mrs Breony Stoddard, PA-C
74 E Kimballs Ln Ste 260,
Draper, UT 84020-5009
(801) 545-8480
(801) 253-1602



Provider's Profile

Full NameMrs Breony Stoddard
GenderFemale
SpecialityPhysician Assistant
Experience16 Years
Location74 E Kimballs Ln Ste 260, Draper, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Breony Stoddard graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1578711057
  • Provider Enumeration Date: 09/08/2008
  • Last Update Date: 11/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8921132275
  • Enrollment ID: I20100823000395

Medical Identifiers

Medical identifiers for Mrs Breony Stoddard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578711057NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 70914401206 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lone Peak HospitalDraper, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountainstar Medical Group-st. Marks Hospital Llc155744332218

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Breony Stoddard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Breony Stoddard, PA-C
Po Box 198560,
Atlanta, GA 30384-8560

Ph: () -
Mrs Breony Stoddard, PA-C
74 E Kimballs Ln Ste 260,
Draper, UT 84020-5009

Ph: (801) 545-8480

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Physician Assistant Nurses in Draper, UT

Scott Bruderer, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020
Phone: 801-576-2300    
Nicole Kelly, P.A.-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 12340 S 450 E, Draper, UT 84020
Phone: 801-501-9797    
Megan Furber, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 11724 S State St, Draper, UT 84020
Phone: 801-576-2000    
Laura Eccles,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 74 E 11800 S Ste 360, Draper, UT 84020
Phone: 801-260-3687    
Joseph Michael Llavina,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 721 E 12200 S Ste 101, Draper, UT 84020
Phone: 801-369-8989    Fax: 801-704-9741
Chad Michael Duford, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 14425 S Bitterbrush Ln, Draper, UT 84020
Phone: 801-576-7292    
Tyson Wilcox,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 11593 S Douglas Vista Dr, Draper, UT 84020
Phone: 801-592-7884    

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