Ricky Lane Gardner, MD | |
935 N 1000 W, Tremonton, UT 84337-9356 | |
(435) 207-4800 | |
Not Available |
Full Name | Ricky Lane Gardner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 935 N 1000 W, Tremonton, 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 |
---|---|---|---|
1588892954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9009537-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bear River Valley Hospital | Tremonton, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Ricky Lane Gardner, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Ricky Lane Gardner, MD 935 N 1000 W, Tremonton, UT 84337-9356 Ph: (435) 207-4800 |
David Vere Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 935 N 1000 W, Tremonton, UT 84337 Phone: 435-207-4800 Fax: 435-207-4808 | |
Dr. Chad L Merrell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 935 N 1000 W, Tremonton, UT 84337 Phone: 435-207-4800 | |
Dr. Todd Miller, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 935 S 1000 W, Tremonton, UT 84337 Phone: 435-207-4844 Fax: 435-207-4809 | |
Linsey Ann Christensen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 935 N 1000 W, Tremonton, UT 84337 Phone: 435-207-4800 | |
Dr. Rodney W Merrell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 935 N 1000 W, Tremonton, UT 84337 Phone: 435-207-4800 | |
Dr. Josiah Moulton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 N 1000 W, Tremonton, UT 84337 Phone: 435-207-4500 |