3336 S PIONEER PKWY
SALT LAKE CITY, UT 84120-2000 US PECOS Enrolled
Overview
Presten Beatty is a Nurse Practitioner in the SALT LAKE CITY area. Presten Beatty primary office location is at 3336 S PIONEER PKWY and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164151064 and the information was updated approximately 2 years ago.
Presten Beatty is affiliated with one medical group in the SALT LAKE CITY area, EXODUS HEALTHCARE NETWORK PLLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 10217335-3102 | UT |
| 10217335-4405 | UT |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner - Taxonomy Code 363L00000X | UT | Y |
| Registered Nurse - Taxonomy Code 163W00000X | UT | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20220816001419 |
| PECOS Individual PAC ID: | 4284017757 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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