Brian Eugene Elledge, DO | |
1000 E 100 N, Payson, UT 84651-1600 | |
(801) 465-7041 | |
(801) 465-7409 |
Full Name | Brian Eugene Elledge |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1000 E 100 N, Payson, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1174865455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 20A14904 (California) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 9848744-1204 (Utah) | Primary |
Entity Name | Jun R. Chiong, Md, Mph, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093099046 PECOS PAC ID: 5597925974 Enrollment ID: O20120321000723 |
Mailing Address | Practice Location Address |
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Brian Eugene Elledge, DO Po Box 742353, Atlanta, GA 30374-2353 Ph: (310) 482-8403 | Brian Eugene Elledge, DO 1000 E 100 N, Payson, UT 84651-1600 Ph: (801) 465-7041 |
Dr. Kevin Lee, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 801-465-7041 | |
Dr. Forrest Bodily, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 801-465-7041 Fax: 801-465-7409 | |
Dr. Lyle Milton Kinikini, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 97 Professional Way, Payson, UT 84651 Phone: 801-429-8000 | |
Scott David Daniels, MD, MHA Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 801-465-7041 |