| Marshall F Willis, MD | |
|
830 N 2000 W, Pleasant Grove, UT 84062-4047 | |
| (801) 756-3511 | |
| (801) 756-1705 |
| Full Name | Marshall F Willis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 48 Years |
| Location | 830 N 2000 W, Pleasant Grove, 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 |
|---|---|---|---|
| 1194833475 | NPI | - | NPPES |
| 107006253101 | Other | UT | SELECT HEALTH |
| 870293873W11 | Other | UT | EMIA |
| QMXAF02074 | Other | UT | ALTIUS |
| 06409 | Medicaid | UT | |
| 0456 | Other | UT | DESERET MUTUAL BENEFIT AS |
| 3213 | Other | UT | PEHP |
| 87029387384062B006 | Other | UT | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1650701205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| American Fork Hospital | American fork, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Family Medical | 7416197785 | 80 |
| Entity Name | Premier Family Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall F Willis, MD Premier Family Medical, 275 W 200 N, Pleasant Grove, UT 84062-4047 Ph: (801) 756-3511 | Marshall F Willis, MD 830 N 2000 W, Pleasant Grove, UT 84062-4047 Ph: (801) 756-3511 |
Dr. Jill Bergeson Barkdull, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-1705 Fax: 801-443-1164 | |
Dr. Sean Cameron Doyle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-443-1164 | |
Dr. Brannick Barton Riggs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 S 1300 W, Pleasant Grove, UT 84062 Phone: 385-440-1400 Fax: 801-845-9965 | |
Scott L Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-443-1164 | |
Sean Patrick Rodgerson Ii, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1474 W 10 S, Pleasant Grove, UT 84062 Phone: 928-502-9890 | |
Elwood J Corry Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-443-1164 |