Michael Gagon, MPT | |
590 E 100 N, Suite 1, Price, UT 84501-2640 | |
(435) 613-1500 | |
(435) 613-1501 |
Full Name | Michael Gagon |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 590 E 100 N, Price, 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 |
---|---|---|---|
1700807484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 292947-2401 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prorehab Physical Therapy | 5193706539 | 6 |
Provider Name | Prorehab Physical Therapy |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437175403 PECOS PAC ID: 5193706539 Enrollment ID: O20040601000305 |
Mailing Address | Practice Location Address |
---|---|
Michael Gagon, MPT Po Box 933, Price, UT 84501-0933 Ph: (435) 613-1500 | Michael Gagon, MPT 590 E 100 N, Suite 1, Price, UT 84501-2640 Ph: (435) 613-1500 |
Mr. Paul Kirsten Smith, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 284 N Hospital Dr, Price, UT 84501 Phone: 435-636-4841 Fax: 435-636-4897 | |
Clayton Lloyd Taylor, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 590 E 100 N, Price, UT 84501 Phone: 435-613-1500 | |
Mr. David Michael Hume, MPT, ATC, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 590 E 100 N, Price, UT 84501 Phone: 435-613-1500 Fax: 435-613-1501 | |
Dr. John Bradford Lewis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 284 N Hospital Dr, Price, UT 84501 Phone: 435-636-4841 Fax: 435-636-4897 | |
Robert Brian Powell, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 284 N Hospital Dr, Price, UT 84501 Phone: 435-636-4841 Fax: 435-636-4897 | |
Dr. Michael Joseph Terry, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 590 E 100 N Ste 1, Price, UT 84501 Phone: 435-613-1500 Fax: 435-613-1501 | |
Kristiann Henricksen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 284 N Hospital Dr, Price, UT 84501 Phone: 435-636-4841 |