Michael Thomas Giovanniello, MD | |
10011 S Centennial Pkwy, Ste 500, Sandy, UT 84070 | |
(801) 676-7627 | |
(801) 676-7630 |
Full Name | Michael Thomas Giovanniello |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 30 Years |
Location | 10011 S Centennial Pkwy, Sandy, 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 |
---|---|---|---|
1285604462 | NPI | - | NPPES |
1316160534 | Other | UT | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 49069701205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tanner Memorial Clinic | 4284547985 | 215 |
Entity Name | Tanner Memorial Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
Entity Name | Evergreen Medical Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316160534 PECOS PAC ID: 7719889138 Enrollment ID: O20040124000260 |
Entity Name | Advanced Spine And Pain Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437627080 PECOS PAC ID: 4183966278 Enrollment ID: O20190419000047 |
Mailing Address | Practice Location Address |
---|---|
Michael Thomas Giovanniello, MD 10011 S Centennial Pkwy, Ste 500, Sandy, UT 84070 Ph: (801) 676-7627 | Michael Thomas Giovanniello, MD 10011 S Centennial Pkwy, Ste 500, Sandy, UT 84070 Ph: (801) 676-7627 |
Kim Marie Mckinnon, NP Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 45 W Sego Lily Dr Ste 312, Sandy, UT 84070 Phone: 801-676-9452 Fax: 801-206-9734 | |
Anina Merrill, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8074 S 1300 E, Sandy, UT 84094 Phone: 801-565-6500 Fax: 801-565-6774 | |
Jesse Walker, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8074 S 1300 E, Sandy, UT 84094 Phone: 925-330-5535 | |
Stephen P Marble, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8074 S 1300 E, Sandy, UT 84094 Phone: 801-565-6500 Fax: 801-565-6501 | |
Dr. Joseph Clark Fyans, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Suite 120, Sandy, UT 84094 Phone: 801-294-6907 Fax: 801-294-6917 | |
Michael Ming-chi Chen, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11333 S 1000 E, Suite 102, Sandy, UT 84094 Phone: 801-462-2205 |