| Derek L Vanhille, MD | |
|
1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010-7671 | |
| (801) 295-5581 | |
| (801) 295-9253 |
| Full Name | Derek L Vanhille |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 11 Years |
| Location | 1551 Renaissance Towne Dr Ste 310, Bountiful, 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 |
|---|---|---|---|
| 1205254885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 11163441-1205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ogden Clinic Specialty Services Llc | 1658781422 | 118 |
| Entity Name | Central Utah Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Entity Name | Ogden Clinic Specialty Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek L Vanhille, MD Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500 | Derek L Vanhille, MD 1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010-7671 Ph: (801) 295-5581 |
Curt Robert Stock, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr, Suite 310, Bountiful, UT 84010 Phone: 801-295-5581 Fax: 801-295-9253 | |
Dr. Joshua Brian Bradshaw, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010 Phone: 801-295-5581 Fax: 801-295-9253 | |
Dr. Demetrios Gregory Skedros, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr, Suite 310, Bountiful, UT 84010 Phone: 801-295-5581 Fax: 801-295-9253 | |
Dr. Steven Michael Kelly, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1551 Renaissance Towne Dr, Suite 310, Bountiful, UT 84010 Phone: 801-295-5581 Fax: 801-295-9253 |