Melinda M Midgley, MD | |
11724 S State St, Draper, UT 84020-7163 | |
(801) 576-2092 | |
(801) 576-2093 |
Full Name | Melinda M Midgley |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 11724 S State St, Draper, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760587653 | NPI | - | NPPES |
870293873MID | Other | UT | EMIA |
63122 | Other | UT | PEHP |
QM0000046556 | Other | UT | ALTIUS |
107008945101 | Other | UT | SELECT HEALTH |
670074 | Other | UT | DESERET MUTUAL BENEFIT AS |
D3560 | Medicaid | UT | |
87029387384062B002 | Other | UT | TRICARE |
47925411200001 | Other | UT | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4792541-1205 (Utah) | Primary |
Entity Name | Granger Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
Entity Name | Granger Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
Mailing Address | Practice Location Address |
---|---|
Melinda M Midgley, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Melinda M Midgley, MD 11724 S State St, Draper, UT 84020-7163 Ph: (801) 576-2092 |
Rachel Jane Richard, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12176 S 1000 E Ste 4, Draper, UT 84020 Phone: 801-572-3750 | |
Dr. Gordon Thier Oremland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12422 S 450 E, Draper, UT 84020 Phone: 801-748-1600 Fax: 801-748-1601 | |
Geoffrey Thomas Osmond, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 11760 S 700 E Ste 112, Draper, UT 84020 Phone: 801-572-1186 | |
Dr. Robert D Williams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-965-3600 | |
Jessica Wilkinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13953 S Bangerter Pkwy, Draper, UT 84020 Phone: 385-900-4090 Fax: 801-365-1033 | |
Daniel Trevor Young, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020 Phone: 801-572-0311 | |
Harold N Gooch, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12176 South 1000 East, Draper, UT 84020 Phone: 801-572-3750 Fax: 801-572-1097 |