Dr Frederic M Civish Iii, is a medicare enrolled "Family Medicine" physician in West Valley, Utah. His current practice location is
3534 S 6000 W, West Valley, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 969-6264.
Dr Frederic M Civish Iii is licensed to practice in Utah (license number 184916-1205) 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 1124137278.
Physician's Profile
| Full Name | Dr Frederic M Civish Iii |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3534 S 6000 W, West Valley, 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:
- Dr Frederic M Civish Iii attended and graduated from in
NPI Data:
- NPI Number: 1124137278
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 01/23/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Frederic M Civish Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124137278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 184916-1205 (Utah) | Primary |
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. Dr Frederic M Civish Iii 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 |
|---|
Dr Frederic M Civish Iii,
3354 W 7800 S,
West Jordan, UT 84088-4506
Ph: (801) 282-2677 | Dr Frederic M Civish Iii,
3534 S 6000 W,
West Valley, UT 84128-2610
Ph: (801) 969-6264 |
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