Ryan Allen, DO | |
382 W 280 N, Providence, UT 84332-9753 | |
(435) 752-0330 | |
Not Available |
Full Name | Ryan Allen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 382 W 280 N, Providence, 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 |
---|---|---|---|
1689089666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11017957A (Indiana) | Secondary |
207Q00000X | Family Medicine | 12503209-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cache Valley Hospital | North logan, UT | Hospital |
Logan Regional Hospital | Logan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Mountainstar Medical Group-cache Valley Llc | 5193887149 | 5 |
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 | Mountainstar Medical Group-cache Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144475674 PECOS PAC ID: 5193887149 Enrollment ID: O20081229000411 |
Mailing Address | Practice Location Address |
---|---|
Ryan Allen, DO Po Box 743120, Atlanta, GA 30374-3120 Ph: () - | Ryan Allen, DO 382 W 280 N, Providence, UT 84332-9753 Ph: (435) 752-0330 |
Dr. Kevin R Duke, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 | |
Vera B Carlson, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 565 W 465 N Ste 130, Providence, UT 84332 Phone: 435-752-5553 Fax: 435-755-5043 | |
Jeremy Broadhurst, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300 | |
Andrew B Grose, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 | |
Thomas H Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 W 465 N, Providence, UT 84332 Phone: 385-238-3900 Fax: 385-238-3901 | |
Dr. Lars Bergeson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 | |
James Dennis Mathews, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 |