Casey Mckay Green, DO | |
4088 N Highway 91, Hyde Park, UT 84318-4125 | |
(435) 563-4888 | |
(435) 563-4832 |
Full Name | Casey Mckay Green |
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Gender | Male |
Speciality | Family Medicine |
Location | 4088 N Highway 91, Hyde Park, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710446810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6725325 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Casey Mckay Green, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Casey Mckay Green, DO 4088 N Highway 91, Hyde Park, UT 84318-4125 Ph: (435) 563-4888 |
Roger Timothy Park, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 Us-91, Hyde Park, UT 84318 Phone: 435-563-4900 | |
Jonathan Terry Jenkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4888 | |
Michael Dalan Bishop, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4088 Us Hwy 91, Hyde Park, UT 84318 Phone: 435-563-4900 Fax: 435-563-4950 | |
Jason Harper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4900 Fax: 435-563-4952 |