Dr Zachary D Van Wagoner, MD | |
1000 E 15 S, Ste 350, Payson, UT 84651-3246 | |
(801) 465-5602 | |
(801) 465-4480 |
Full Name | Dr Zachary D Van Wagoner |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 1000 E 15 S, Payson, 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 |
---|---|---|---|
1346549912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 9651138-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davis Hospital And Medical Center | Layton, UT | Hospital |
Layton Hospital | Layton, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tanner Memorial Clinic | 4284547985 | 215 |
Entity Name | Tanner Memorial Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
Mailing Address | Practice Location Address |
---|---|
Dr Zachary D Van Wagoner, MD 3550 N University Ave Ste 250, Provo, UT 84604-6685 Ph: (801) 374-9625 | Dr Zachary D Van Wagoner, MD 1000 E 15 S, Ste 350, Payson, UT 84651-3246 Ph: (801) 465-5602 |
Dr. Max Kent Cannon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 39 Professional Way, Suite 2, Payson, UT 84651 Phone: 801-465-1701 Fax: 801-465-1707 | |
Dr. Jedidiah Dunbar Oldham, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 97 Professional Way Ste 2, Payson, UT 84651 Phone: 801-465-4896 Fax: 801-465-4107 | |
Matthew T Baker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E 15 S, Ste 350, Payson, UT 84651 Phone: 801-465-5602 Fax: 801-465-4480 |