| Dr Brian M Ely, DO | |
|
5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | |
| (801) 213-4500 | |
| (801) 213-5368 |
| Full Name | Dr Brian M Ely |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 5126 W Daybreak Pkwy, South Jordan, Utah |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447468293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 58.001871 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 8488408-1204 (Utah) | Primary |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian M Ely, DO Po Box 510708, Salt Lake City, UT 84151-0708 Ph: (801) 213-3900 | Dr Brian M Ely, DO 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 Ph: (801) 213-4500 |
Lisa Marie Hanson, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4538 W South Jordan Pkwy Unit 110, South Jordan, UT 84009 Phone: 801-661-6052 | |
Dr. Charles Olin Canfield, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10437 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-877-0705 Fax: 801-335-5957 | |
Ryan C Jones, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11444 S Redwood Rd, South Jordan, UT 84095 Phone: 801-253-5900 | |
Dr. Joseph Barney Stanford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-4500 | |
Dr. David Gareth Owen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-4500 Fax: 801-585-3655 | |
Michelle L Palmer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 W South Jordan Pkwy, Suite 102, South Jordan, UT 84095 Phone: 801-508-3111 Fax: 801-508-3105 | |
Annliza Lachica Piacitelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S, Ste 100, South Jordan, UT 84095 Phone: 801-433-2873 |