Dr Frederic M Civish Iii, is a medicare enrolled "Family Medicine" physician in West Valley, Utah. He went to University Of Utah School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hunter Medical Center Inc and his current practice location is
3534 S 6000 W, West Valley, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 969-6264.
Dr Frederic M Civish Iii is licensed to practice in Utah (license number 184916-1205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124137278.
Physician's Profile
| Full Name | Dr Frederic M Civish Iii |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 36 Years |
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| Location | 3534 S 6000 W, West Valley, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Frederic M Civish Iii attended and graduated from University Of Utah School Of Medicine in 1988
NPI Data:
- NPI Number: 1124137278
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 01/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 9032007315
- Enrollment ID: I20040415000335
Medical Identifiers
Medical identifiers for Dr Frederic M Civish Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124137278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 184916-1205 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hunter Medical Center Inc | 3678461951 | 8 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Frederic M Civish Iii allows following entities to bill medicare on his behalf.
| Entity Name | Hunter Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205957131
PECOS PAC ID: 3678461951
Enrollment ID: O20040308001440 |
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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. Dr Frederic M Civish Iii 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 |
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Dr Frederic M Civish Iii,
3354 W 7800 S,
West Jordan, UT 84088-4506
Ph: (801) 282-2677 | Dr Frederic M Civish Iii,
3534 S 6000 W,
West Valley, UT 84128-2610
Ph: (801) 969-6264 |
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