Alton D Burgett, MD | |
3725 W 4100 S, West Valley City, UT 84120 | |
(801) 965-3600 | |
(801) 965-3526 |
Full Name | Alton D Burgett |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 26 Years |
Location | 3725 W 4100 S, West Valley 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 |
---|---|---|---|
1124059514 | NPI | - | NPPES |
057470299001 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 56452571205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granger Medical Clinic Pc | 3476465691 | 149 |
Granger Medical Specialists Llc | 4587074356 | 155 |
Entity Name | Granger Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
Entity Name | Granger Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
Mailing Address | Practice Location Address |
---|---|
Alton D Burgett, MD 3725 W 4100 S, West Valley City, UT 84120 Ph: (801) 965-3600 | Alton D Burgett, MD 3725 W 4100 S, West Valley City, UT 84120 Ph: (801) 965-3600 |
David B Isaac, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 | |
Maria Alejandra Gonzalez Ferrua, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3336 S Pioneer Pkwy Ste 301, West Valley City, UT 84120 Phone: 801-964-3865 | |
Stephen D Lash, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3336 S 4155 W, Ste 301, West Valley City, UT 84120 Phone: 801-964-3865 | |
Lindsay Lawrence, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3336 S Pioneer Pkwy Ste 301, West Valley City, UT 84120 Phone: 801-964-3865 | |
Steven C Dinger, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 |