Dr Phillip Lee Chaffin Jr, MD | |
1055 N 300 W, Ste 401, Provo, UT 84604-3306 | |
(801) 357-7499 | |
(801) 373-5980 |
Full Name | Dr Phillip Lee Chaffin Jr |
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Gender | Male |
Speciality | Otolaryngology |
Experience | 16 Years |
Location | 1055 N 300 W, Provo, 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 |
---|---|---|---|
1134355225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YP0228X | Otolaryngology - Pediatric Otolaryngology | 9348982-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Dr Phillip Lee Chaffin Jr, MD 1055 N 300 W, Ste 401, Provo, UT 84604-3306 Ph: (801) 357-7499 | Dr Phillip Lee Chaffin Jr, MD 1055 N 300 W, Ste 401, Provo, UT 84604-3306 Ph: (801) 357-7499 |
Matthew K. Money, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W, Suite 301, Provo, UT 84604 Phone: 801-357-4460 Fax: 801-357-4090 | |
Dr. Kipp Moreno Robins, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 | |
Kirt Scott Beus, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W, Suite 401, Provo, UT 84604 Phone: 801-357-7499 Fax: 801-373-5980 | |
Scott Shipley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 401, Provo, UT 84604 Phone: 801-357-7499 Fax: 801-373-5980 | |
Jordan Carlton Schramm, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1055 N 300 W Ste 401, Provo, UT 84604 Phone: 801-357-7499 Fax: 801-373-5980 | |
Dr. Seth Allred Riddle, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W, Suite 401, Provo, UT 84604 Phone: 801-357-7499 Fax: 801-373-5980 |