Dr Robert Joel Bush, MD | |
750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 | |
(801) 852-1443 | |
Not Available |
Full Name | Dr Robert Joel Bush |
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Gender | Male |
Speciality | Family Medicine - Addiction Medicine |
Location | 750 N Freedom Blvd Ste 300, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003070111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0401X | Family Medicine - Addiction Medicine | 10761618-1205 (Utah) | Primary |
Entity Name | Wasatch Behavioral Health Special Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014 |
Mailing Address | Practice Location Address |
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Dr Robert Joel Bush, MD 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 Ph: (801) 852-1443 | Dr Robert Joel Bush, MD 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 Ph: (801) 852-1443 |
Janee Namealoha Sells, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3200 N Canyon Rd Ste C, Provo, UT 84604 Phone: 385-375-8724 | |
Dr. Marlin L Christianson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 West 940 North, Provo, UT 84604 Phone: 801-357-7930 Fax: 801-357-7014 | |
Tyson Schwab, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 205, Provo, UT 84604 Phone: 801-357-1770 | |
Mr. Gregory Lawrence Nielsen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1750 N Wymount Terrace Dr, Provo, UT 84604 Phone: 801-422-2771 Fax: 801-422-0761 | |
Mr. Tyler Jason Fieldsted, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 W 940 N, Provo, UT 84604 Phone: 801-357-7926 Fax: 801-357-7927 | |
Dr. Matthew Craig Evans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W, #201, Provo, UT 84604 Phone: 801-581-2000 |