| Dr Marc Travis Nuttall, MD | |
|
1055 N 500 W Ste 202, Provo, UT 84604-3305 | |
| (801) 374-2367 | |
| (801) 429-8015 |
| Full Name | Dr Marc Travis Nuttall |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 19 Years |
| Location | 1055 N 500 W Ste 202, Provo, 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 |
|---|---|---|---|
| 1144497322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6805182-1205 (Utah) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 68050182-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sevier Valley Hospital | Richfield, UT | Hospital |
| Castleview Hospital | Price, UT | Hospital |
| American Fork Hospital | American fork, UT | Hospital |
| Sanpete Valley Hospital - Cah | Mount pleasant, UT | Hospital |
| Utah Valley Hospital | Provo, UT | Hospital |
| 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 Marc Travis Nuttall, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Dr Marc Travis Nuttall, MD 1055 N 500 W Ste 202, Provo, UT 84604-3305 Ph: (801) 374-2367 |
Dr. Christopher Gordon, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 745 N 500 W Ste 200, Provo, UT 84601 Phone: 801-375-9292 Fax: 801-375-9290 | |
Daniel N. Bennett, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 Phone: 801-373-4366 | |
Pace Romney, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 210, Provo, UT 84604 Phone: 801-357-0280 | |
Dr. Christopher Ryan Lew, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558 | |
Albert Rivero, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310 | |
Dr. Wenshu Yu, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604 Phone: 801-818-1940 Fax: 801-818-1945 | |
William T. Stephenson Ii, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604 Phone: 801-357-8200 Fax: 801-357-8201 |