John B Dame, MD | |
1250 E 3900 S Ste 260, Slc, UT 84124-1371 | |
(801) 265-2000 | |
(801) 265-2008 |
Full Name | John B Dame |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 1250 E 3900 S Ste 260, Slc, 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 |
---|---|---|---|
1922205947 | NPI | - | NPPES |
1922205947 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9043685-1205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Confederated Tribes Of The Goshute Reservation | 0042451650 | 43 |
Entity Name | Confederated Tribes Of The Goshute Reservation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750510277 PECOS PAC ID: 0042451650 Enrollment ID: O20130724000653 |
Mailing Address | Practice Location Address |
---|---|
John B Dame, MD 1250 E 3900 S Ste 260, Slc, UT 84124-1371 Ph: (801) 265-2000 | John B Dame, MD 1250 E 3900 S Ste 260, Slc, UT 84124-1371 Ph: (801) 265-2000 |
Dr. Kimberly Jo Davis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1174e Graystone Way 15, Slc, UT 84106 Phone: 801-486-0875 Fax: 801-486-0174 | |
Nicholas Gary Hanson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 310, Slc, UT 84102 Phone: 801-328-1260 Fax: 801-350-4361 | |
Dan C. Henry Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2295 Foothill Dr, Slc, UT 84109 Phone: 801-486-3021 Fax: 801-485-6339 | |
John U Lawrence, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 34 S 500 E, Ste 202, Slc, UT 84102 Phone: 801-582-2011 |