Scott Lyles Provost, MD in Murray, UT - Medicare Anesthesiology

Scott Lyles Provost, MD is a medicare enrolled "Anesthesiology" physician in Murray, Utah. He went to University Of Arkansas College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Mountain West Anesthesia Llc and his current practice location is 5121 S Cottonwood Street, Intermountain Medical Center, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 507-5248.

Scott Lyles Provost is licensed to practice in Utah (license number 5210810-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194843052.

Contact Information

	Scott Lyles Provost, MD
	5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157
	(801) 507-5248
	(801) 581-4367

Map and Direction

Physician's Profile

Full Name	Scott Lyles Provost
Gender	Male
Speciality	Anesthesiology
Experience	23 Years
Location	5121 S Cottonwood Street, Murray, 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.

Medical Education and Training:

Scott Lyles Provost attended and graduated from University Of Arkansas College Of Medicine in 2001

NPI Data:

NPI Number: 1194843052
Provider Enumeration Date: 03/27/2007
Last Update Date: 10/16/2012

Medicare PECOS Information:

PECOS PAC ID: 8123129178
Enrollment ID: I20070720000724

Medical Identifiers

Medical identifiers for Scott Lyles Provost such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194843052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	5210810-1205 (Utah)	Primary
207R00000X	Internal Medicine	5210810-1205 (Utah)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Intermountain Medical Center	Murray, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain West Anesthesia Llc	9032018502	246

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Scott Lyles Provost allows following entities to bill medicare on his behalf.

Entity Name	Mountain West Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Scott Lyles Provost is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Scott Lyles Provost, MD 3340 North Center St #800, Lehi, UT 84043-7406 Ph: (801) 990-1911	Scott Lyles Provost, MD 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Ph: (801) 507-5248

Reviews and Comments

Anesthesiology Doctors in Murray, UT

Kendell Ryan Klingler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 778 E Briarmeadow Ave, Murray, UT 84107 Phone: 208-390-7555
Ethan K Fisher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-733-5618
Jason Hafer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-455-8221
Dr. Jayaprakash Moodalagiriappa, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-432-2668
Dr. Daniel Larsen Jacobs, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5801 S Fashion Blvd Ste 195, Murray, UT 84107 Phone: 801-829-7246 Fax: 801-655-9615
Dr. Michael Marshall Beck, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675
Mr. Joshua C Peterson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675

Scott Lyles Provost, MD - Medicare Anesthesiology in Murray, UT