| William Province Iii, MD | |
|
900 Round Valley Dr, Park City, UT 84060-7552 | |
| (438) 658-7000 | |
| Not Available |
| Full Name | William Province Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 900 Round Valley Dr, Park City, 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 |
|---|---|---|---|
| 1790001915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 9448540-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park City Hospital | Park city, UT | Hospital |
| Heber Valley Hospital | Heber city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| William Province Iii, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (317) 828-1912 | William Province Iii, MD 900 Round Valley Dr, Park City, UT 84060-7552 Ph: (438) 658-7000 |
Dr. Lane Clayton Thaut, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1743 S Sidewinder Drive Unit 114, Park City, UT 84060 Phone: 307-840-9834 | |
Dr. Michael Andrew Rogowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1750 Sidewinder Dr, Park City, UT 84060 Phone: 435-649-7640 | |
Dr. Haley M. Svensson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 432-658-7000 | |
Elizabeth B. Albert, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7000 | |
Austin Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7500 | |
David Rick Sutherland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-659-7000 | |
Dr. Mohammad M. Dbeisi I, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 801-442-1702 |