Mark Robert Gillis, MD | |
1600 W Antelope Dr, Layton, UT 84041 | |
(801) 807-1000 | |
Not Available |
Full Name | Mark Robert Gillis |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 35 Years |
Location | 1600 W Antelope Dr, Layton, 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 |
---|---|---|---|
1154390177 | NPI | - | NPPES |
D4357 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 50872591205 (Utah) | Secondary |
207L00000X | Anesthesiology | MD176903 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sky Lakes Medical Center | Klamath falls, OR | Hospital |
Mercy Medical Center | Roseburg, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America - Anesthesia Pc | 3678897915 | 339 |
Anesthesia Associates Northwest Llc | 7618908484 | 86 |
Entity Name | West Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598783417 PECOS PAC ID: 6002710837 Enrollment ID: O20031124000329 |
Entity Name | Bay Area Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
Entity Name | Anesthesia Associates Northwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
Entity Name | Cep America - Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235842196 PECOS PAC ID: 3678897915 Enrollment ID: O20230406000262 |
Mailing Address | Practice Location Address |
---|---|
Mark Robert Gillis, MD 3021 Corral Dr, Layton, UT 84040-7448 Ph: (801) 444-2551 | Mark Robert Gillis, MD 1600 W Antelope Dr, Layton, UT 84041 Ph: (801) 807-1000 |
Dr. Brian Clint Hales, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 801-774-7140 | |
Dr. Nathan J Hess, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 801-807-1000 | |
Dr. Ryan B Springer, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 602-332-5728 | |
Dr. Clark E Petersen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1544 W Antelope Dr, Layton, UT 84041 Phone: 801-773-3339 Fax: 801-773-6727 | |
Joshua M Shepherd, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4040 | |
Bryan Holbrook, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1544 W Antelope Dr, Layton, UT 84041 Phone: 801-773-3339 |