Kent G Marshall, MD | |
700 W 800 N Ste 400, Orem, UT 84057-6305 | |
(801) 221-8811 | |
(801) 221-8805 |
Full Name | Kent G Marshall |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 700 W 800 N Ste 400, Orem, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962422543 | NPI | - | NPPES |
351047 | Other | UT | DMBA |
73466 | Other | UT | PEHP |
04-00986 | Other | UT | UNITED HEALTHCARE |
870281028000 | Medicaid | UT | |
870281028MA6 | Other | UT | EMIA |
P00048651 | Other | UT | PALMETTO |
QM0000068055 | Other | UT | ALTIUS |
107006950102 | Other | UT | IHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 183738-1205 (Utah) | Primary |
Entity Name | Central Utah Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Mailing Address | Practice Location Address |
---|---|
Kent G Marshall, MD 1055 N 500 W, Credentialing Department, Provo, UT 84604-3305 Ph: (801) 354-8225 | Kent G Marshall, MD 700 W 800 N Ste 400, Orem, UT 84057-6305 Ph: (801) 221-8811 |
Dr. Richard I. Gelb I, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W 800 N Ste 444, Orem, UT 84057 Phone: 801-714-6412 Fax: 801-714-6413 | |
Carl H Lawyer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 W 800 N, Suite 220, Orem, UT 84057 Phone: 801-354-8205 Fax: 801-354-8206 | |
Jay S Cowen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 W 800 N, Orem, UT 84057 Phone: 801-783-5011 | |
Ronald W Asay, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 W 800 N Ste 444, Orem, UT 84057 Phone: 801-714-6412 Fax: 801-714-6413 | |
Peter Duros, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W 800 N Ste 400, Orem, UT 84057 Phone: 801-221-8811 Fax: 801-221-8805 | |
Sean R Curzon, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W 800 N Ste 400, Orem, UT 84057 Phone: 801-221-8811 Fax: 801-221-8805 | |
Jerald P Boseman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 S Orem Blvd Ste 103, Orem, UT 84058 Phone: 801-225-4911 Fax: 801-225-4854 |