Dr Lance O Allen, D O | |
355 N Main St, Kanab, UT 84741-3260 | |
(435) 644-4100 | |
(435) 644-3366 |
Full Name | Dr Lance O Allen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 355 N Main St, Kanab, 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 |
---|---|---|---|
1609188713 | NPI | - | NPPES |
1627681 | Medicaid | AK | |
K166413 | Other | AK | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MEDO8306 (Alaska) | Secondary |
207Q00000X | Family Medicine | 362191-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Zion's Way Home Health | St george, UT | Home health agency |
Kane County Hospital | Kanab, UT | Hospital |
Garfield Memorial Hospital | Panguitch, UT | Hospital |
Dixie Regional Medical Center | St george, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kane County Human Resource Special Service District | 5092603316 | 8 |
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 | Kane County Human Resource Special Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043380991 PECOS PAC ID: 5092603316 Enrollment ID: O20040309000209 |
Mailing Address | Practice Location Address |
---|---|
Dr Lance O Allen, D O 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Dr Lance O Allen, D O 355 N Main St, Kanab, UT 84741-3260 Ph: (435) 644-4100 |
Bryson J Hollingshead, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 | |
Darin Dale Ott, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 | |
Jonathan Craig Bowman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 | |
Dr. David Michael Salter, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 |