Mr Gregory J Wing, MD | |
1055 N 500 W Ste 111, Provo, UT 84604-3305 | |
(801) 354-8225 | |
(801) 418-0941 |
Full Name | Mr Gregory J Wing |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 14 Years |
Location | 1055 N 500 W Ste 111, 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 |
---|---|---|---|
1568783819 | NPI | - | NPPES |
238919 | Medicaid | AZ |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Desert Sky Dermatology Pllc | 3971753054 | 11 |
Central Utah Clinic Pc | 7517868508 | 386 |
Entity Name | Desert Sky Dermatology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871851691 PECOS PAC ID: 3971753054 Enrollment ID: O20121025000803 |
Mailing Address | Practice Location Address |
---|---|
Mr Gregory J Wing, MD 1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Mr Gregory J Wing, MD 1055 N 500 W Ste 111, Provo, UT 84604-3305 Ph: (801) 354-8225 |
Dr. Payam Tristani-firouzi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 111, Provo, UT 84604 Phone: 801-374-8999 Fax: 801-429-8063 | |
Dr. Richard L Stone, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1275 N University Ave Ste 23, Provo, UT 84604 Phone: 801-377-4745 Fax: 801-373-5762 | |
Jake Fagan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W # 111, Provo, UT 84604 Phone: 801-374-8999 | |
Garrett C Lowe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 N Canyon Rd Ste D, Provo, UT 84604 Phone: 801-373-3300 Fax: 801-354-7900 | |
Margaret Hammond, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 604, Provo, UT 84604 Phone: 801-357-0613 | |
Brian R Bradshaw, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 111, Provo, UT 84604 Phone: 801-374-8999 Fax: 801-429-8063 |