Robert W Slack, DO | |
10968 N Alpine Hwy, Highland, UT 84003-8874 | |
(801) 763-2900 | |
Not Available |
Full Name | Robert W Slack |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 10968 N Alpine Hwy, Highland, 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 |
---|---|---|---|
1467467399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 53766721204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
American Fork Hospital | American fork, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Utah Modern Medical Llc | 8729461728 | 4 |
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 |
Entity Name | Utah Modern Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689310948 PECOS PAC ID: 8729461728 Enrollment ID: O20220823003069 |
Mailing Address | Practice Location Address |
---|---|
Robert W Slack, DO 3401 N Thanksgiving Wyay, Ste 260, Lehi, UT 84043-4158 Ph: (385) 455-7170 | Robert W Slack, DO 10968 N Alpine Hwy, Highland, UT 84003-8874 Ph: (801) 763-2900 |
Peter Michael Sundwall, Family Medicine Medicare: Medicare Enrolled Practice Location: 10290 N. North County Blvd. Ste 200, Highland, UT 84003 Phone: 208-625-6000 Fax: 208-625-6001 | |
Dr. Charles Wesley Walton, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11286 N Tamarack Dr, Highland, UT 84003 Phone: 801-492-9162 Fax: 801-492-9163 | |
Tyler S Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10968 N Alpine Hwy, Highland, UT 84003 Phone: 801-763-2900 | |
Peter V Sundwall Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10290 N North County Blvd, Suite 200, Highland, UT 84003 Phone: 801-899-3391 Fax: 801-685-3266 | |
Jeanne Marie Borget, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 10644 N 5660 W, Highland, UT 84003 Phone: 801-664-7679 | |
Terrance Stephen Drake, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5563 Coventry Rd, Highland, UT 84003 Phone: 801-216-4581 |