Dr Michael Wayne Boyer, MD | |
100 N Medical Dr, Bmt, Salt Lake City, UT 84113-1103 | |
(801) 585-3229 | |
(801) 585-3432 |
Full Name | Dr Michael Wayne Boyer |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 100 N Medical Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598763112 | NPI | - | NPPES |
123768300 | Medicaid | WY | |
2162341 | Medicaid | OH | |
64006950 | Medicaid | KY | |
0157063 | Medicaid | MT | |
100510358 | Medicaid | NV | |
0157053 | Medicaid | MT | |
D6692 | Medicaid | UT | |
807569000 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 6150957-1205 (Utah) | Secondary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 6150957-1205 (Utah) | Primary |
Entity Name | University Of Utah Specialty Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043614811 PECOS PAC ID: 2961726831 Enrollment ID: O20150123002141 |
Entity Name | University Of Utah Adult Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Entity Name | University Of Utah Pediatric Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Wayne Boyer, MD 295 Chipeta Way, Uofu Dept Of Pediatrics-hemonc, Salt Lake City, UT 84108-1220 Ph: (801) 587-7400 | Dr Michael Wayne Boyer, MD 100 N Medical Dr, Bmt, Salt Lake City, UT 84113-1103 Ph: (801) 585-3229 |
Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401 | |
Dr. Zainab Kagen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Ste 14, Salt Lake City, UT 84108 Phone: 801-585-6943 | |
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 | |
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700 | |
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000 | |
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588 |