| Dr Joshua Graham Burkhardt, DO | |
|
555 W Sr 164, Salem, UT 84653 | |
| (801) 226-3600 | |
| (801) 224-3811 |
| Full Name | Dr Joshua Graham Burkhardt |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 13 Years |
| Location | 555 W Sr 164, Salem, 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 |
|---|---|---|---|
| 1922363001 | NPI | - | NPPES |
| 036137661 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-137661 (Illinois) | Secondary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | 10764222-1204 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Utah Clinic Pc | 7517868508 | 388 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joshua Graham Burkhardt, DO 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Dr Joshua Graham Burkhardt, DO 555 W Sr 164, Salem, UT 84653 Ph: (801) 226-3600 |
Dr. Garry Tim Miller Ii, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164 North, Salem, UT 84653 Phone: 801-465-4813 Fax: 801-812-5433 | |
Tala'at Al-shuqairat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4813 Fax: 801-812-5433 | |
Dr. Troy Lunceford, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4813 Fax: 801-812-5433 | |
David F Bennion, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 West Sr 164 North, Salem, UT 84651 Phone: 801-465-4813 Fax: 801-812-5433 | |
Brian A Clements, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4813 Fax: 801-812-5433 | |
Alan B Erdmann, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-374-1268 Fax: 801-812-5454 |