Dr Vaughn Thad Johnson, DO | |
3650 N University Ave Ste 200, Provo, UT 84604-6658 | |
(801) 375-7100 | |
(801) 375-7102 |
Full Name | Dr Vaughn Thad Johnson |
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Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 3650 N University Ave Ste 200, 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 |
---|---|---|---|
1659453694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9531048-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Deer Lodge Medical Center - Cah | Deer lodge, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Powell County Memorial Hospital Association Inc. | 6103734728 | 17 |
Entity Name | Powell County Memorial Hospital Association Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841414026 PECOS PAC ID: 6103734728 Enrollment ID: O20040917001067 |
Entity Name | Powell County Memorial Hospital Association Inc. |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1275560617 PECOS PAC ID: 6103734728 Enrollment ID: O20061104000719 |
Mailing Address | Practice Location Address |
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Dr Vaughn Thad Johnson, DO 3650 N University Ave Ste 200, Provo, UT 84604-6658 Ph: (801) 375-7100 | Dr Vaughn Thad Johnson, DO 3650 N University Ave Ste 200, Provo, UT 84604-6658 Ph: (801) 375-7100 |
Dr. Robert Joel Bush, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd Ste 300, Provo, UT 84601 Phone: 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 |