Thomas L Gardner, MD | |
1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | |
(801) 507-5248 | |
(801) 733-5618 |
Full Name | Thomas L Gardner |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 27 Years |
Location | 1034 North 500 West, 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 |
---|---|---|---|
1396836375 | NPI | - | NPPES |
64482 | Other | UT | PEHP |
682520 | Other | UT | DESERET MUTUAL |
QM0000075886 | Other | UT | ALTIUS |
118322200 | Medicaid | WY | |
002082157 | Medicaid | NV | |
79086 | Other | UT | HEALTHY U |
806156600 | Medicaid | ID | |
870545614GAR | Other | UT | EDUCATORS MUTUAL |
107008344102 | Other | UT | IHC |
36381112001001 | Other | UT | BCBS |
772659 | Medicaid | AZ | |
PRA05966 | Other | UT | MOLINA |
1502954 | Other | UT | UMWA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 363811-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Utah Valley Hospital | Provo, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain West Anesthesia Llc | 9032018502 | 246 |
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 |
Mailing Address | Practice Location Address |
---|---|
Thomas L Gardner, MD 3340 North Center St #800, Lehi, UT 84043-7406 Ph: (801) 990-1911 | Thomas L Gardner, MD 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Ph: (801) 507-5248 |
Dr. Daniel Rey Faber, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 280 River Park Dr, #200, Provo, UT 84604 Phone: 801-223-4860 Fax: 801-371-8993 | |
John B Zimmerman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
David Groesbeck, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
Carl Thayne Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
Mr. Matthew David Wagaman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 770-701-6675 | |
Mitchell D Albrecht, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84004 Phone: 801-993-9582 Fax: 801-733-5618 | |
Mark Critchfield, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 |