Question 1

What type of a medical provider is Marcia Kay Lidtke?

Accepted Answer

Marcia Kay Lidtke is a Nurse Practitioner (Family).

Question 2

Where does Marcia Kay Lidtke practice medicine?

Accepted Answer

Marcia Kay Lidtke has the following practice address:750 N FREEDOM BLVD, PROVO, UT 84601-1677

Question 3

Does this provider have a license number?

Accepted Answer

Marcia Kay Lidtke has 2 license numbers, including: License Number 13626 issued in California.

Question 4

Does Marcia Kay Lidtke accept Medicare?

Accepted Answer

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

Question 5

Does Marcia Kay Lidtke have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Marcia Kay Lidtke a member of any Medical Groups?

Accepted Answer

Marcia Kay Lidtke is affiliated with one medical group in the PROVO area, WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT.

Question 7

Does Marcia Kay Lidtke participate in PECOS?

Accepted Answer

Yes, Marcia Kay Lidtke participates in PECOS.

Question 8

What phone number can I call to contact Marcia Kay Lidtke?

Accepted Answer

You can call the following number: (801)-373-9656

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Marcia Kay Lidtke.

Question 10

Is Marcia Kay Lidtke  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 8 years ago (1/19/2017).

Taxonomy	State	Primary?
Nurse Practitioner (Family) - Taxonomy Code 363LF0000X	UT	Y
Nurse Practitioner (Family) - Taxonomy Code 363LF0000X	CA	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20170301002328
PECOS Individual PAC ID:	7214010271
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

Marcia Kay Lidtke

Overview