Dennis Michael Concoby, DO is a medicare enrolled "Family Medicine" physician in Elk Ridge, Utah. His current practice location is
107 W Goosenest Dr, Elk Ridge, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 358-9954.
Dennis Michael Concoby is licensed to practice in Utah (license number 5656211-1204) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386605715.
Physician's Profile
Full Name | Dennis Michael Concoby |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 107 W Goosenest Dr, Elk Ridge, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386605715
- Provider Enumeration Date: 03/28/2006
- Last Update Date: 04/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 9638125578
- Enrollment ID: I20050324000069
Medical Identifiers
Medical identifiers for Dennis Michael Concoby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386605715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 5656211-1204 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dennis Michael Concoby is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dennis Michael Concoby, DO 107 W Goosenest Dr, Elk Ridge, UT 84651-4558 Ph: (801) 358-9954 | Dennis Michael Concoby, DO 107 W Goosenest Dr, Elk Ridge, UT 84651-4558 Ph: (801) 358-9954 |
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