Spencer K Michalke, MD | |
5169 S Cottonwood St Ste 420, Murray, UT 84107-6769 | |
(801) 507-1650 | |
Not Available |
Full Name | Spencer K Michalke |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 12 Years |
Location | 5169 S Cottonwood St Ste 420, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801155064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 62006 (Arizona) | Secondary |
208200000X | Plastic Surgery | 13930346-1205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regency Reconstruction Pllc | 4082968995 | 5 |
Entity Name | Mussman Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821539156 PECOS PAC ID: 7517237365 Enrollment ID: O20170726004124 |
Entity Name | Regency Reconstruction Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972086924 PECOS PAC ID: 4082968995 Enrollment ID: O20181113000903 |
Entity Name | Regency Ambulatory Surgery Center One Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1073155834 PECOS PAC ID: 3072932235 Enrollment ID: O20201007003068 |
Mailing Address | Practice Location Address |
---|---|
Spencer K Michalke, MD 7254 W Buckhorn Trl, Peoria, AZ 85383-5085 Ph: (480) 415-3778 | Spencer K Michalke, MD 5169 S Cottonwood St Ste 420, Murray, UT 84107-6769 Ph: (801) 507-1650 |
Dr. John B Hijjawi, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 420, Murray, UT 84107 Phone: 801-507-1650 | |
Dr. Antony Eugin Martin, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-1650 | |
Robert Edward Hugh Ferguson Jr., M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 Cottonwood St, Suite 410, Murray, UT 84107 Phone: 801-507-1650 Fax: 801-233-4410 | |
Megan Lehane Delano, PA-C Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 Cottonwood St Ste 420, Murray, UT 84107 Phone: 801-507-1650 | |
Brenton Robinson, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5292 S College Dr Ste 302, Murray, UT 84123 Phone: 801-293-8100 | |
Dr. Larry Kent Patton, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5169 Cottonwood St, #410, Murray, UT 84107 Phone: 801-507-1650 | |
Dr. Ian T Mcgraw, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St, Murray, UT 84107 Phone: 801-507-1650 |