Advanced Wound Care, Llc - Medicare Primary Care in Spanish Fork, UT

Advanced Wound Care, Llc is a medicare enrolled primary clinic (Internal Medicine) in Spanish Fork, Utah. The current practice location for Advanced Wound Care, Llc is 800 N 100 E, Spanish Fork, Utah. For appointments, you can reach them via phone at (801) 592-3724. The mailing address for Advanced Wound Care, Llc is 800 N 100 E, Spanish Fork, Utah and phone number is (801) 592-3724.

Advanced Wound Care, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083226369. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 592-3724.

Contact Information

Advanced Wound Care, Llc
800 N 100 E
Spanish Fork
UT 84660-5577
(801) 592-3724
Not Available

Primary Care Clinic Profile

Full NameAdvanced Wound Care, Llc
SpecialityInternal Medicine
Location800 N 100 E, Spanish Fork, Utah
Authorized Official Name and PositionKristeen Bailey (OWNER)
Authorized Official Contact8015923724
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Advanced Wound Care, Llc
800 N 100 E
Spanish Fork
UT 84660-5577

Ph: (801) 592-3724
Advanced Wound Care, Llc
800 N 100 E
Spanish Fork
UT 84660-5577

Ph: (801) 592-3724

NPI Details:

NPI Number1083226369
Provider Enumeration Date08/19/2020
Last Update Date06/17/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8628475522
Medicare Enrollment IDO20210920002326

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Medical Identifiers

Medical identifiers for Advanced Wound Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083226369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Advanced Wound Care, Llc acts as a billing entity for following providers:
Provider NameSteven Timothy Garrard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366636854
PECOS PAC ID: 3779550801
Enrollment ID: I20090129000625

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