Dr Stuart Eliot Willick, MD | |
1493 Lowell Ave, Park City, UT 84060 | |
(435) 655-7970 | |
Not Available |
Full Name | Dr Stuart Eliot Willick |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 36 Years |
Location | 1493 Lowell Ave, Park City, 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 |
---|---|---|---|
1720169915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 371707-1205 (Utah) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 371707-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Utah Specialty Services | 2961726831 | 74 |
Entity Name | University Of Utah Specialty Services |
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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 |
Mailing Address | Practice Location Address |
---|---|
Dr Stuart Eliot Willick, MD Po Box 58108, Salt Lake City, UT 84158-0108 Ph: (801) 581-3998 | Dr Stuart Eliot Willick, MD 1493 Lowell Ave, Park City, UT 84060 Ph: (435) 655-7970 |
Todd Michael Olson, OTR/L Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7000 | |
Dr. Earl Warren Stadler Jr., M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1500 Three Kings Drive Unit 31, Park City, UT 84060 Phone: 435-649-4975 | |
Dr. Freda Lynn Dreher, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 900 Round Valley Dr Ste 200, Park City, UT 84060 Phone: 435-658-7400 | |
Dr. Wayne L Stokes, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1743 Redstone Center Dr, Ste. 115, Park City, UT 84098 Phone: 435-658-9200 |