Stacey Wells, MD | |
2000 Circle Of Hope Dr, Salt Lake City, UT 84112-5550 | |
(801) 585-0303 | |
Not Available |
Full Name | Stacey Wells |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 9 Years |
Location | 2000 Circle Of Hope Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538554993 | NPI | - | NPPES |
101042278905 | Other | UT | CS MEDICAL LICENSE |
101042271205 | Other | UT | MEDICAL LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 101042271205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sagewest Health Care | Riverton, WY | Hospital |
Wyoming Medical Center | Casper, WY | Hospital |
Ivinson Memorial Hospital | Laramie, WY | Hospital |
Platte County Memorial Hospital | Wheatland, WY | Hospital |
Hot Springs County Memorial Hospital | Thermopolis, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
William H And Carrie Gottsche Foundation | 5092606293 | 37 |
Rocky Mountain Oncology Center Llc | 6709879174 | 9 |
Entity Name | Rocky Mountain Oncology Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003862723 PECOS PAC ID: 6709879174 Enrollment ID: O20040405000005 |
Mailing Address | Practice Location Address |
---|---|
Stacey Wells, MD 1950 Circle Of Hope Dr Rm 1570, Salt Lake City, UT 84112-5500 Ph: (801) 581-8781 | Stacey Wells, MD 2000 Circle Of Hope Dr, Salt Lake City, UT 84112-5550 Ph: (801) 585-0303 |
Dr. Romuald Ferre, Radiology Medicare: Not Enrolled in Medicare Practice Location: University Of Utah Department Of Radiology And Imaging, 30 North Mario Capecchi Drive 2 South, Salt Lake City, UT 84112 Phone: 801-633-7085 | |
Dr. Vilija N Avizonis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3838 S 700 E, Suite 100, Salt Lake City, UT 84106 Phone: 801-281-6860 Fax: 801-281-4822 | |
Karen Lisa Salzman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Hugh F. Harnsberger, MD Radiology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, 1a71, Salt Lake City, UT 84132 Phone: 801-581-7553 | |
Dr. Jeffrey S Prince, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1900 | |
Dr. Erika J. Schneble, DO, MA Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Dr. Brad Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3321 S 3010 E, Salt Lake City, UT 84109 Phone: 802-310-2843 |