| Gary Robert Edwards, | |
|
3000 N Triumph Blvd Ste 330, Lehi, UT 84043-4999 | |
| (385) 345-3560 | |
| Not Available |
| Full Name | Gary Robert Edwards |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 11 Years |
| Location | 3000 N Triumph Blvd Ste 330, Lehi, 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 |
|---|---|---|---|
| 1922425800 | NPI | - | NPPES |
| 1922425800 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 5583016-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jordan Valley Medical Center | West jordan, UT | Hospital |
| Utah Valley Hospital | Provo, UT | Hospital |
| Mountain View Hospital | Payson, UT | Hospital |
| American Fork Hospital | American fork, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Brain And Spine Pc | 2365877917 | 12 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Sportsmed Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285013987 PECOS PAC ID: 6204140122 Enrollment ID: O20150805007176 |
| Entity Name | Summit Brain And Spine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962045096 PECOS PAC ID: 2365877917 Enrollment ID: O20200109000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Robert Edwards, 3000 N Triumph Blvd Ste 330, Lehi, UT 84043-7188 Ph: (385) 345-3560 | Gary Robert Edwards, 3000 N Triumph Blvd Ste 330, Lehi, UT 84043-4999 Ph: (385) 345-3560 |
Dr. Todd Christopher Pitts, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd Ste 330, Lehi, UT 84043 Phone: 385-345-3560 Fax: 877-331-0467 |