Question 1

What type of a medical provider is Brenton Waters?

Accepted Answer

Brenton Waters is a Physician Assistant.

Question 2

Where does Brenton Waters practice medicine?

Accepted Answer

Brenton Waters has the following practice address:565 KOMAS DRIVE, SALT LAKE CITY, UT 84108

Question 3

Does this provider have a license number?

Accepted Answer

Brenton Waters has the following license number: License Number - issued in Utah.

Question 4

Does Brenton Waters accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Brenton Waters have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Brenton Waters a member of any Medical Groups?

Accepted Answer

Brenton Waters is affiliated with one medical group in the SALT LAKE CITY area, INTERMOUNTAIN HEALTHCARE SERVICES, INC.

Question 7

Does Brenton Waters participate in PECOS?

Accepted Answer

Yes, Brenton Waters participates in PECOS.

Question 8

What phone number can I call to contact Brenton Waters?

Accepted Answer

You can call the following number: (801)-584-5144

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Brenton Waters.

Question 10

Is Brenton Waters  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 6 years ago (2/14/2019).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20170707002223
PECOS Individual PAC ID:	5496024333
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

Brenton Waters

Overview