| Rebecca Levine, Md, Pllc | |
|
1575 W 7000 S West Jordan UT 84084-3431 | |
| (801) 569-9113 | |
| (801) 569-9103 |
| Full Name | Rebecca Levine, Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1575 W 7000 S, West Jordan, Utah |
| Authorized Official Name and Position | Rebecca Levine (OWNER / MD) |
| Authorized Official Contact | 8015699119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Levine, Md, Pllc Po Box 413008 Salt Lake City UT 84141-0001 Ph: (801) 569-9119 | Rebecca Levine, Md, Pllc 1575 W 7000 S West Jordan UT 84084-3431 Ph: (801) 569-9113 |
| NPI Number | 1972759371 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 1850467630 |
|---|---|
| Medicare Enrollment ID | O20080902000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972759371 | NPI | - | NPPES |
| 1972759371 | Other | UT | CORP NPI |
| 1316986136 | Other | UT | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33292020-1205 (Utah) | Primary |
| Provider Name | Rebecca J Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316986136 PECOS PAC ID: 0345212098 Enrollment ID: I20040812000100 |
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