| Dr Lane C Childs, MD | |
|
4252 Highland Dr, #200, Slc, UT 84124-2670 | |
| (801) 993-1800 | |
| (801) 993-1699 |
| Full Name | Dr Lane C Childs |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 38 Years |
| Location | 4252 Highland Dr, Slc, 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 |
|---|---|---|---|
| 1831239995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 1869831205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilcox Memorial Hospital | Lihue, HI | Hospital |
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kauai Medical Clinic | 5092628479 | 131 |
| Bmh Inc | 8426149758 | 124 |
| Bingham Memorial Hospital | 8426955014 | 67 |
| Entity Name | Kauai Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lane C Childs, MD 4252 Highland Dr, #200, Slc, UT 84124-2670 Ph: (801) 993-1800 | Dr Lane C Childs, MD 4252 Highland Dr, #200, Slc, UT 84124-2670 Ph: (801) 993-1800 |
Charles W Sorenson, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 324 10th Ave Ste 178, Slc, UT 84103 Phone: 801-408-2500 Fax: 801-408-1410 | |
Dr. Scott A. Hopkins, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr., #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 | |
Dr. Steven N. Gange, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4252 Highland Dr, #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 | |
Dr. Peter C. Fisher, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr, #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 |