| Marvin R Allen, MD | |
|
1055 N 500 W, Suite 101, Provo, UT 84604-3305 | |
| (801) 373-4366 | |
| (801) 429-8191 |
| Full Name | Marvin R Allen |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 35 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 |
|---|---|---|---|
| 1831154566 | NPI | - | NPPES |
| 311142 | Other | UT | DMBA |
| 870281028AL1 | Other | UT | EMIA |
| 44358 | Other | UT | PEHP |
| 25-00139 | Other | UT | UNITED HEALTH CARE |
| 10242 | Other | UT | IHC |
| 870281028000 | Medicaid | UT | |
| 060042587 | Other | UT | PALMETTO |
| QM0000001423 | Other | UT | ALTIUS HEALTH PLANS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 339476-1205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Utah Clinic Pc | 7517868508 | 388 |
| 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 | 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 |
|---|---|
| Marvin R Allen, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Marvin R Allen, MD 1055 N 500 W, Suite 101, Provo, UT 84604-3305 Ph: (801) 373-4366 |
Dr. Christopher Gordon, D.O. Cardiovascular Disease 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 Cardiovascular Disease 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. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 210, Provo, UT 84604 Phone: 801-357-0280 | |
Dr. Christopher Ryan Lew, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558 | |
Albert Rivero, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310 | |
Dr. Wenshu Yu, MD Cardiovascular Disease 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. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604 Phone: 801-357-8200 Fax: 801-357-8201 |