| Wendell A Gibby, MD | |
|
3152 N University Ave, Suite 100, Provo, UT 84604-4729 | |
| (801) 229-2002 | |
| (801) 229-1003 |
| Full Name | Wendell A Gibby |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 3152 N University Ave, 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 |
|---|---|---|---|
| 1992802235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 178394-1204 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alpharad Inc | 1254367865 | 3 |
| Riverwood Advanced Diagnostic Imaging | 4385681899 | 3 |
| Riverside Medical Center Llc | 7214161256 | 3 |
| Entity Name | Riverwood Advanced Diagnostic Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194818278 PECOS PAC ID: 4385681899 Enrollment ID: O20050414001283 |
| Entity Name | Alpharad Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487836979 PECOS PAC ID: 1254367865 Enrollment ID: O20050714000953 |
| Entity Name | Riverside Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649567504 PECOS PAC ID: 7214161256 Enrollment ID: O20131007001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendell A Gibby, MD 3152 N University Ave, Suite 100, Provo, UT 84604-4729 Ph: (801) 229-2002 | Wendell A Gibby, MD 3152 N University Ave, Suite 100, Provo, UT 84604-4729 Ph: (801) 229-2002 |
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 |