| Daniel Glade, MD | |
|
5314 N 250 W Ste 220, Provo, UT 84604-7746 | |
| (801) 225-8484 | |
| (801) 225-6170 |
| Full Name | Daniel Glade |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 6 Years |
| Location | 5314 N 250 W Ste 220, Provo, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821618430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 7942795-1205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Family Medical | 7416197785 | 84 |
| Entity Name | Richard W Parkinson |
|---|---|
| Entity Type | Practitioner - Dermatology |
| Entity Identifiers | NPI Number: 1891801346 PECOS PAC ID: 4284697723 Enrollment ID: I20041109000701 |
| Entity Name | Premier Family Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Glade, MD 5314 N 250 W Ste 220, Provo, UT 84604-7746 Ph: (801) 225-8484 | Daniel Glade, MD 5314 N 250 W Ste 220, Provo, UT 84604-7746 Ph: (801) 225-8484 |
Dr. Payam Tristani-firouzi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 111, Provo, UT 84604 Phone: 801-374-8999 Fax: 801-429-8063 |
Dr. Richard L Stone, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1275 N University Ave Ste 23, Provo, UT 84604 Phone: 801-377-4745 Fax: 801-373-5762 |
Garrett C Lowe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 N Canyon Rd Ste D, Provo, UT 84604 Phone: 801-373-3300 Fax: 801-354-7900 |
Mr. Gregory J Wing, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 111, Provo, UT 84604 Phone: 801-354-8225 Fax: 801-418-0941 |
Margaret Hammond, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 604, Provo, UT 84604 Phone: 801-357-0613 |
Brian R Bradshaw, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 111, Provo, UT 84604 Phone: 801-374-8999 Fax: 801-429-8063 |
Dr. Richard W Parkinson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5314 N 250 W, Suite 220, Provo, UT 84604 Phone: 801-225-8484 Fax: 801-225-6170 |