Dr Phillip Fairbourn, MD in St George, UT - Medicare Diagnostic Radiology

Dr Phillip Fairbourn, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in St George, Utah. He went to Medical College Of Wisconsin and graduated in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1490 E Foremaster Dr Bldg C, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 812-4624.

Dr Phillip Fairbourn is licensed to practice in Utah (license number 10800395-1205) 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 1801182357.

Contact Information

	Dr Phillip Fairbourn, MD
	1490 E Foremaster Dr Bldg C, St George, UT 84790-4550
	(801) 812-4624
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Phillip Fairbourn
Gender	Male
Speciality	Diagnostic Radiology
Experience	13 Years
Location	1490 E Foremaster Dr Bldg C, St George, 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.

Medical Education and Training:

Dr Phillip Fairbourn attended and graduated from Medical College Of Wisconsin in 2011

NPI Data:

NPI Number: 1801182357
Provider Enumeration Date: 06/23/2011
Last Update Date: 09/09/2021

Medicare PECOS Information:

PECOS PAC ID: 7810288669
Enrollment ID: I20180807003995

Medical Identifiers

Medical identifiers for Dr Phillip Fairbourn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801182357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	Q8471 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2085R0202X	Radiology - Diagnostic Radiology	10800395-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain View Hospital	Payson, UT	Hospital
Timpanogos Regional Hospital	Orem, UT	Hospital
Jordan Valley Medical Center	West jordan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	386

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 Phillip Fairbourn allows following entities to bill medicare on his behalf.

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

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 Phillip Fairbourn 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
Dr Phillip Fairbourn, MD 1055 N 500 W, Provo, UT 84604-3305 Ph: (801) 354-8225	Dr Phillip Fairbourn, MD 1490 E Foremaster Dr Bldg C, St George, UT 84790-4550 Ph: (801) 812-4624

Reviews and Comments

Radiology Doctors in St George, UT

Brett A Christian, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1380 South Medical Center Dr, St George, UT 84790 Phone: 435-688-4000
Tracy R Orr, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-688-4000
Ray Stayner Richards, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1490 E Foremaster Dr, Building C, St George, UT 84790 Phone: 435-627-5327 Fax: 435-627-5306
Rick White Obray, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2891 E Mall Drive, Ste. 101, St George, UT 84790 Phone: 435-656-2424 Fax: 435-656-2828
John A Davis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1700
Dr. Daniel Matheson Adams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1308 E 900 S Ste C, St George, UT 84790 Phone: 435-673-2301
John A Owen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-688-4000

Dr Phillip Fairbourn, MD - Medicare Diagnostic Radiology in St George, UT