Michael Hinckley, MD is a medicare enrolled "Dermatology" physician in West Jordan, Utah. He went to University Of Utah School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and his current practice location is
9001 S 3200 W, West Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 965-3600.
Michael Hinckley is licensed to practice in Utah (license number 7613304-1205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760665707.
Physician's Profile
| Full Name | Michael Hinckley |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 19 Years |
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| Location | 9001 S 3200 W, West Jordan, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Hinckley attended and graduated from University Of Utah School Of Medicine in 2005
NPI Data:
- NPI Number: 1760665707
- Provider Enumeration Date: 12/13/2007
- Last Update Date: 03/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567500523
- Enrollment ID: I20100917000201
Medical Identifiers
Medical identifiers for Michael Hinckley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760665707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 7613304-1205 (Utah) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 7613304-1205 (Utah) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Granger Medical Clinic Pc | 3476465691 | 149 |
| Granger Medical Specialists Llc | 4587074356 | 155 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Hinckley allows following entities to bill medicare on his behalf.
| Entity Name | Granger Medical Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184657041
PECOS PAC ID: 3476465691
Enrollment ID: O20031105000159 |
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| Entity Name | Granger Medical Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376159368
PECOS PAC ID: 4587074356
Enrollment ID: O20201105002207 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Hinckley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Michael Hinckley, MD
2965 W 3500 S,
West Valley City, UT 84119-3602
Ph: (801) 965-3505 | Michael Hinckley, MD
9001 S 3200 W,
West Jordan, UT 84088-9621
Ph: (801) 965-3600 |
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