Gregg Michael Guilfoyle, DO is a medicare enrolled "Plastic Surgery" physician in Provo, Utah. His current practice location is
1055 N 300 W Ste 301, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 702-9191.
Gregg Michael Guilfoyle is licensed to practice in Utah (license number 11847500-1204) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972769917.
Physician's Profile
Full Name | Gregg Michael Guilfoyle |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 1055 N 300 W Ste 301, Provo, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972769917
- Provider Enumeration Date: 07/30/2008
- Last Update Date: 11/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 5496926883
- Enrollment ID: I20110915000048
Medical Identifiers
Medical identifiers for Gregg Michael Guilfoyle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972769917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | OS014237 (Pennsylvania) | Secondary |
208200000X | Plastic Surgery | 118475001204 (Utah) | Secondary |
208200000X | Plastic Surgery | 11847500-1204 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gregg Michael Guilfoyle is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gregg Michael Guilfoyle, DO 1055 N 300 W Ste 301, Provo, UT 84604-3373 Ph: (801) 702-9191 | Gregg Michael Guilfoyle, DO 1055 N 300 W Ste 301, Provo, UT 84604-3373 Ph: (801) 702-9191 |
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