Likio Pope, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Taylorsville, Utah. He graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ma Bo Inc and his current practice location is
6013 S Redwood Rd, Taylorsville, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 255-5131.
Likio Pope is licensed to practice in Utah (license number 8618829-1206) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174016695.
Healthcare Provider's Profile
| Full Name | Likio Pope |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 6013 S Redwood Rd, Taylorsville, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Likio Pope graduated from medical school in 2023
NPI Data:
- NPI Number: 1174016695
- Provider Enumeration Date: 06/09/2018
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375984339
- Enrollment ID: I20240508003939
Medical Identifiers
Medical identifiers for Likio Pope such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174016695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 8618829-1206 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ma Bo Inc | 1254399652 | 3 |
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. Likio Pope 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 Address | Practice Location Address |
|---|
Likio Pope, PA-C
6013 S Redwood Rd,
Taylorsville, UT 84123-5220
Ph: (801) 255-5131 | Likio Pope, PA-C
6013 S Redwood Rd,
Taylorsville, UT 84123-5220
Ph: (801) 255-5131 |
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