| Dallin Trout, | |
|
585 Main St., Green River, UT 84525 | |
| (435) 564-3434 | |
| Not Available |
| Full Name | Dallin Trout |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 585 Main St., Green River, Utah |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285360651 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green River Medical Center Inc | 3870525843 | 3 |
| Entity Name | Green River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942317722 PECOS PAC ID: 3870525843 Enrollment ID: O20050910000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dallin Trout, 8401 S Chambers Rd, Parker, CO 80134-9498 Ph: (303) 373-2008 | Dallin Trout, 585 Main St., Green River, UT 84525 Ph: (435) 564-3434 |
Mr. Kim Thyrill Mcfarlane, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 585 West Main Street, Green River, UT 84525 Phone: 435-564-3434 Fax: 435-564-3214 |
Loye West, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 305 West Main Street, Green River, UT 84525 Phone: 435-564-3434 |
Mrs. Shannon Taylor Thurston, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 585 West Main Street, Green River, UT 84525 Phone: 435-564-3434 Fax: 435-564-3214 |
Tyler J Rundell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 585 Main St, Green River, UT 84525 Phone: 435-564-3434 |