Dr Lane C Childs, MD | |
4252 Highland Dr, #200, Slc, UT 84124-2670 | |
(801) 993-1800 | |
(801) 993-1699 |
Full Name | Dr Lane C Childs |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 37 Years |
Location | 4252 Highland Dr, Slc, 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 |
---|---|---|---|
1831239995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 1869831205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mark's Hospital | Salt lake city, UT | Hospital |
Alta View Hospital | Sandy, UT | Hospital |
Intermountain Medical Center | Murray, UT | Hospital |
Riverton Hospital | Riverton, UT | Hospital |
Lone Peak Hospital | Draper, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granger Medical Clinic Pc | 3476465691 | 149 |
Granger Medical Specialists Llc | 4587074356 | 155 |
Entity Name | Granger Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
Entity Name | Granger Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
Mailing Address | Practice Location Address |
---|---|
Dr Lane C Childs, MD 4252 Highland Dr, #200, Slc, UT 84124-2670 Ph: (801) 993-1800 | Dr Lane C Childs, MD 4252 Highland Dr, #200, Slc, UT 84124-2670 Ph: (801) 993-1800 |
Charles W Sorenson, MD Urology Medicare: Medicare Enrolled Practice Location: 324 10th Ave Ste 178, Slc, UT 84103 Phone: 801-408-2500 Fax: 801-408-1410 | |
Dr. Scott A. Hopkins, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr., #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 | |
Dr. Steven N. Gange, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr, #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 | |
Dr. Peter C. Fisher, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr, #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 |