Matthew Quinn Shelton, DO | |
97 Professional Way Ste 2, Payson, UT 84651-1680 | |
(801) 465-4896 | |
(018) 465-4107 |
Full Name | Matthew Quinn Shelton |
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Gender | Male |
Speciality | Family Medicine |
Location | 97 Professional Way Ste 2, Payson, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982265161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OT019600 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 12951971-1204 (Utah) | Primary |
Entity Name | Central Utah Clinic Pc |
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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 |
---|---|
Matthew Quinn Shelton, DO 1055 N 500 W, Attn Credentialing, Provo, UT 84604-4305 Ph: (180) 135-4822 | Matthew Quinn Shelton, DO 97 Professional Way Ste 2, Payson, UT 84651-1680 Ph: (801) 465-4896 |
Dr. Renny Theodore Mcdaniel, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 S 1000 E Ste 100, Payson, UT 84651 Phone: 801-465-9480 | |
Britton R Ercanbrack, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 Turf Farm Rd Unit 1, Payson, UT 84651 Phone: 801-465-6250 | |
Nolan Money, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Professional Way Ste 2, Payson, UT 84651 Phone: 801-465-4896 Fax: 801-465-4107 | |
Dr. Jan Engle Badertscher, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 E 100 N, Ste. 1, Payson, UT 84651 Phone: 801-754-4848 Fax: 801-754-4844 | |
Dr. Dana H Munn, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Professional Way Ste 2, Payson, UT 84651 Phone: 801-465-4896 | |
Robert Brent Clark, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 97 S. Professional Way, Payson, UT 84651 Phone: 801-465-4896 Fax: 801-465-4107 |