Steven L Wallentine, MD | |
1055 N 500 W, Suite 202, Provo, UT 84604-3305 | |
(801) 374-2367 | |
(801) 429-8015 |
Full Name | Steven L Wallentine |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 24 Years |
Location | 1055 N 500 W, Provo, 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 |
---|---|---|---|
1790736122 | NPI | - | NPPES |
87028102800B | Other | UT | EMIA |
870281028000 | Medicaid | UT | |
88780 | Other | UT | PEHP |
933849 | Other | UT | DMBA |
P00345446 | Other | UT | PALMETTO |
I62333 | Other | UT | UPIN |
36-00187 | Other | UT | UHC |
107046686101 | Other | UT | IHC |
285195 | Other | UT | ALTIUS |
6098631120000 | Other | UT | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 60986311205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Castleview Hospital | Price, UT | Hospital |
Gunnison Valley Hospital | Gunnison, UT | Hospital |
Sevier Valley Hospital | Richfield, UT | Hospital |
Utah Valley Hospital | Provo, UT | Hospital |
Sanpete Valley Hospital - Cah | Mount pleasant, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Utah Clinic Pc | 7517868508 | 386 |
Entity Name | Central Utah Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Mailing Address | Practice Location Address |
---|---|
Steven L Wallentine, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Steven L Wallentine, MD 1055 N 500 W, Suite 202, Provo, UT 84604-3305 Ph: (801) 374-2367 |
Dr. Christopher Gordon, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 745 N 500 W Ste 200, Provo, UT 84601 Phone: 801-375-9292 Fax: 801-375-9290 | |
Daniel N. Bennett, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 Phone: 801-373-4366 | |
Dr. Christopher Ryan Lew, DO Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558 | |
Albert Rivero, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310 | |
Dr. Wenshu Yu, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604 Phone: 801-818-1940 Fax: 801-818-1945 | |
William T. Stephenson Ii, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604 Phone: 801-357-8200 Fax: 801-357-8201 | |
Gregory E Craner, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Suite 100 Bldg B, Provo, UT 84604 Phone: 801-374-1268 Fax: 801-429-8041 |