Dr Wyatt Harding Horsley, MD | |
900 Round Valley Dr Ste 110, Park City, UT 84060-7552 | |
(435) 333-3535 | |
Not Available |
Full Name | Dr Wyatt Harding Horsley |
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Gender | Male |
Speciality | Family Medicine |
Location | 900 Round Valley Dr Ste 110, Park City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346685674 | NPI | - | NPPES |
08217507 | Other | ECFMG | |
201172500 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01076865A (Indiana) | Secondary |
207Q00000X | Family Medicine | 12777035-1205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Dr Wyatt Harding Horsley, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Dr Wyatt Harding Horsley, MD 900 Round Valley Dr Ste 110, Park City, UT 84060-7552 Ph: (435) 333-3535 |
Dr. Joseph Ferriter, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 Bonanza Dr, Park City, UT 84060 Phone: 435-649-7640 Fax: 435-649-1365 | |
John Joseph Hanrahan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 Maple Dr, Park City, UT 84098 Phone: 435-714-0715 | |
Dr. Kenneth Alan Wolkoff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3065 Fawn Dr, Park City, UT 84098 Phone: 435-655-8212 | |
Brian J Rush, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2720 Homestead Rd, Ste 100, Park City, UT 84098 Phone: 435-940-9400 | |
Bradley Cris Cowley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7000 | |
Dr. Spenser Reed, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1790 Sun Peak Dr Ste A101, Park City, UT 84098 Phone: 435-645-0800 | |
Stefani Jane Day, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 Bonanza Dr, Park City, UT 84060 Phone: 435-649-7640 Fax: 435-645-7768 |