| Lance O Allen, D O | |
|
355 N Main St, Kanab, UT 84741-3260 | |
| (435) 644-4100 | |
| (435) 644-3366 |
| Full Name | Lance O Allen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 18 Years |
| Location | 355 N Main St, Kanab, 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 |
|---|---|---|---|
| 1609188713 | NPI | - | NPPES |
| K166413 | Other | AK | MEDICARE PTAN |
| 1627681 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MEDO8306 (Alaska) | Secondary |
| 207P00000X | Emergency Medicine | 81778 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 362191-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshfield Medical Center - Eau Claire | Eau claire, WI | Hospital |
| Kane County Hospital | Kanab, UT | Hospital |
| Watertown Memorial Hospital | Watertown, WI | Hospital |
| Aspirus Riverview Hospital & Clinics Inc | Wisconsin rapids, WI | Hospital |
| Dixie Regional Medical Center | St george, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physician Associates Of Wisconsin Sc | 3577865690 | 21 |
| Kane County Human Resource Special Service District | 5092603316 | 37 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance O Allen, D O 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Lance O Allen, D O 355 N Main St, Kanab, UT 84741-3260 Ph: (435) 644-4100 |
Darin Dale Ott, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 | |
Jonathan Craig Bowman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 | |
Dr. David Michael Salter, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 |