| Casey Mckay Green, DO | |
| 
					4088 N Highway 91, Hyde Park, UT 84318-4125  | |
| (435) 563-4888 | |
| (435) 563-4832 | 
| Full Name | Casey Mckay Green | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 4088 N Highway 91, Hyde Park, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710446810 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 6725325 (Utah) | Primary | 
| Entity Name | Ihc Health Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Casey Mckay Green, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -  | Casey Mckay Green, DO 4088 N Highway 91, Hyde Park, UT 84318-4125 Ph: (435) 563-4888  | 
Roger Timothy Park, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 Us-91, Hyde Park, UT 84318 Phone: 435-563-4900  | |
Jonathan Terry Jenkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4888  | |
Michael Dalan Bishop, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4088 Us Hwy 91, Hyde Park, UT 84318 Phone: 435-563-4900 Fax: 435-563-4950  | |
Jason Harper,  Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4900 Fax: 435-563-4952  |