Dr George William Middleton Jr, MD is a medicare enrolled "Urology" physician in West Valley City, Utah. He went to Saint Louis University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Urology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
3725 W 4100 S, West Valley City, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 965-3600.
Dr George William Middleton Jr is licensed to practice in North Carolina (license number 9701495) 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 1376581140.
Physician's Profile
| Full Name | Dr George William Middleton Jr |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 29 Years |
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| Location | 3725 W 4100 S, West Valley City, 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 George William Middleton Jr attended and graduated from Saint Louis University School Of Medicine in 1995
NPI Data:
- NPI Number: 1376581140
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 8123277860
- Enrollment ID: I20190524001531
Medical Identifiers
Medical identifiers for Dr George William Middleton Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376581140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 9701495 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 8172 |
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 George William Middleton Jr allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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 George William Middleton Jr 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 George William Middleton Jr, MD
3725 W 4100 S,
West Valley City, UT 84120-5411
Ph: (801) 965-3600 | Dr George William Middleton Jr, MD
3725 W 4100 S,
West Valley City, UT 84120-5411
Ph: (801) 965-3600 |
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