| Gregory B Smith, MD | |
|
1055 N 500 W, Suite 112, Provo, UT 84604-3305 | |
| (801) 812-4624 | |
| (801) 812-4699 |
| Full Name | Gregory B Smith |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 1055 N 500 W, 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 |
|---|---|---|---|
| 1255377222 | NPI | - | NPPES |
| P00148585 | Other | PALMETTO GBA | |
| 107031310101 | Other | UT | IHC |
| 78938 | Other | UT | PEHP |
| 16-00712 | Other | UT | UNITED HEALTHCARE |
| 870281028GBS | Other | UT | EMIA |
| 219637 | Other | UT | ALTIUS |
| 868806 | Other | UT | DMBA |
| 870281028000 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5355080-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jordan Valley Medical Center | West jordan, UT | Hospital |
| Timpanogos Regional Hospital | Orem, UT | Hospital |
| Central Valley Medical Center - Cah | Nephi, UT | Hospital |
| Mountain View Hospital | Payson, 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 |
|---|---|
| Gregory B Smith, MD 1055 N 500 W, Credentialing Department, Provo, UT 84604-3305 Ph: (801) 354-8225 | Gregory B Smith, MD 1055 N 500 W, Suite 112, Provo, UT 84604-3305 Ph: (801) 812-4624 |
Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525 | |
Jacob Troy Gibby, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 3152 N University Ave Ste 100, Provo, UT 84604 Phone: 801-229-2002 | |
Samuel Lynn Southam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 801-357-7626 | |
Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699 | |
Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4423 Fax: 801-357-7626 | |
Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699 | |
Dr. Ralph Christopher Reed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 112, Provo, UT 84604 Phone: 801-812-4624 |