Dr Benjamin Steven Crouch, DO | |
1055 N 500 W Ste 121, Provo, UT 84604-3305 | |
(801) 373-7350 | |
(801) 812-5401 |
Full Name | Dr Benjamin Steven Crouch |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 16 Years |
Location | 1055 N 500 W Ste 121, Provo, 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 |
---|---|---|---|
1336302546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 5101018512 (Michigan) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 8836132-1204 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Utah Clinic Pc | 7517868508 | 386 |
Entity Name | Central Utah Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Entity Name | Blue Mountain Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558513812 PECOS PAC ID: 0749344661 Enrollment ID: O20090203000527 |
Entity Name | Blue Mountain Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1558513812 PECOS PAC ID: 0749344661 Enrollment ID: O20100517000228 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Steven Crouch, DO 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Dr Benjamin Steven Crouch, DO 1055 N 500 W Ste 121, Provo, UT 84604-3305 Ph: (801) 373-7350 |
Nicholas Brown, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 395 W Cougar Blvd Ste 802, Provo, UT 84604 Phone: 801-357-8818 Fax: 801-357-8817 | |
Dr. Jody Quick Wixom, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 410, Provo, UT 84604 Phone: 801-357-8818 | |
Claire A Gross, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W Ste 201, Provo, UT 84604 Phone: 801-357-1200 | |
Ronald Gary Duerksen, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1055 North 300 West, Suite 416, Provo, UT 84604 Phone: 801-357-7770 Fax: 801-357-7639 | |
Brian K Olenslager, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3585 N University Ave, Ste 150, Provo, UT 84604 Phone: 801-356-6100 Fax: 801-356-2113 | |
Robin Ockey, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W, Provo, UT 84604 Phone: 801-357-8310 |