Dr Demetrios Gregory Skedros, MD | |
1551 Renaissance Towne Dr, Suite 310, Bountiful, UT 84010-7667 | |
(801) 295-5581 | |
(801) 295-9253 |
Full Name | Dr Demetrios Gregory Skedros |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 36 Years |
Location | 1551 Renaissance Towne Dr, Bountiful, 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 |
---|---|---|---|
1821146242 | NPI | - | NPPES |
108797500 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 264339-1205 (Utah) | Primary |
207Y00000X | Otolaryngology | 5387A (Wyoming) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Davis Hospital And Medical Center | Layton, UT | Hospital |
Lakeview Hospital | Bountiful, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ogden Clinic Specialty Services Llc | 1658781422 | 108 |
Entity Name | Mountain West Ear Nose And Throat Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770631194 PECOS PAC ID: 6204734353 Enrollment ID: O20031227000016 |
Entity Name | Ogden Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780 |
Entity Name | Ogden Clinic Specialty Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806 |
Mailing Address | Practice Location Address |
---|---|
Dr Demetrios Gregory Skedros, MD 2255 N 1700 W, Ste 200, Layton, UT 84041-1187 Ph: (801) 776-2180 | Dr Demetrios Gregory Skedros, MD 1551 Renaissance Towne Dr, Suite 310, Bountiful, UT 84010-7667 Ph: (801) 295-5581 |
Derek L Vanhille, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010 Phone: 801-295-5581 Fax: 801-295-9253 | |
Curt Robert Stock, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr, Suite 310, Bountiful, UT 84010 Phone: 801-295-5581 Fax: 801-295-9253 | |
Dr. Joshua Brian Bradshaw, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010 Phone: 801-295-5581 Fax: 801-295-9253 | |
Dr. Steven Michael Kelly, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1551 Renaissance Towne Dr, Suite 310, Bountiful, UT 84010 Phone: 801-295-5581 Fax: 801-295-9253 |