Amanda Khoury, | |
24 S 1100 E Ste 210, Salt Lake City, UT 84102-1580 | |
(801) 505-5277 | |
(801) 505-5280 |
Full Name | Amanda Khoury |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 5 Years |
Location | 24 S 1100 E Ste 210, 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 |
---|---|---|---|
1417512898 | NPI | - | NPPES |
12612990-0501 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 12612990-0501 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary's Medical Center | San francisco, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bay Area Foot Care Inc | 0345329686 | 86 |
Provider Name | Bay Area Foot Care Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508911892 PECOS PAC ID: 0345329686 Enrollment ID: O20080512000353 |
Mailing Address | Practice Location Address |
---|---|
Amanda Khoury, 280 S Main St, Bountiful, UT 84010-6236 Ph: (801) 505-0821 | Amanda Khoury, 24 S 1100 E Ste 210, Salt Lake City, UT 84102-1580 Ph: (801) 505-5277 |
Podiatry Center Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 | |
Callie Lorraine Morlock, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 | |
Randy D. Rhodes, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 389 S 900 E, Salt Lake City, UT 84102 Phone: 385-282-2000 Fax: 385-282-2001 | |
Dr. Terry Paul Smith, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 82 S 1100 E, Suite 300, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Robert A Church, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Benjamin Arthur Thomas, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121 Phone: 801-365-1032 Fax: 801-365-1036 | |
Dr. Michael Karl Lowe, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 Fax: 801-532-7544 |