Richard L Glines, MD | |
1250 E 3900 S, #30, Salt Lake City, UT 84124 | |
(801) 268-7725 | |
Not Available |
Full Name | Richard L Glines |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 19 Years |
Location | 1250 E 3900 S, Salt Lake City, 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 |
---|---|---|---|
1790794063 | NPI | - | NPPES |
1790794063 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 7596444-1205 (Utah) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 7596444-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mark's Hospital | Salt lake city, UT | Hospital |
Davis Hospital And Medical Center | Layton, UT | Hospital |
Lone Peak Hospital | Draper, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Davis Anesthesiology Llc | 5395793905 | 13 |
St Marks Physician Billing Llc | 6103061072 | 7 |
Entity Name | St Marks Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912925629 PECOS PAC ID: 1355248089 Enrollment ID: O20031218000918 |
Entity Name | North Davis Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525901 PECOS PAC ID: 5395793905 Enrollment ID: O20050111000311 |
Entity Name | St Marks Physician Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922342732 PECOS PAC ID: 6103061072 Enrollment ID: O20130325000327 |
Mailing Address | Practice Location Address |
---|---|
Richard L Glines, MD Po Box 271220, Salt Lake City, UT 84127-1220 Ph: (801) 534-1360 | Richard L Glines, MD 1250 E 3900 S, #30, Salt Lake City, UT 84124 Ph: (801) 268-7725 |
Dr. David Demoin Byrd, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-268-7111 | |
Timothy Fuller, Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Thomas K Trauba, Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 3838 S 700 E, Salt Lake City, UT 84106 Phone: 801-261-4988 Fax: 801-269-9427 | |
Dr. John K Hong, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 E 3900 S Ste 3g, Salt Lake City, UT 84124 Phone: 435-714-7180 | |
David Garrett Jones, PA-C Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 344 E 100 S, Salt Lake City, UT 84111 Phone: 801-322-3222 |