| James Michael Marcum, MD | |
|
672 W 400 S Ste 201, Springville, UT 84663-3170 | |
| (801) 369-8989 | |
| (801) 704-9741 |
| Full Name | James Michael Marcum |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 672 W 400 S Ste 201, Springville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013938588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 182233 (Oregon) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 52568381205 (Utah) | Primary |
| Entity Name | Salt Lake Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189 |
| Entity Name | Cedar Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230 |
| Mailing Address | Practice Location Address |
|---|---|
| James Michael Marcum, MD 672 W 400 S Ste 201, Springville, UT 84663-3170 Ph: (801) 369-8989 | James Michael Marcum, MD 672 W 400 S Ste 201, Springville, UT 84663-3170 Ph: (801) 369-8989 |
Paul Douglas Thielking, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 672 W 400 S Ste 201, Springville, UT 84663 Phone: 801-369-8989 | |
Dr. Thomas Eugene Draschil, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 672 W 400 S Ste B201, Springville, UT 84663 Phone: 801-369-8989 Fax: 801-704-9741 | |
Hannah Lindsey Banks, PMHNP-BC Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 672 W 400 S Ste 201, Springville, UT 84663 Phone: 801-787-1317 |