<unavail> in Midvale, UT - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Midvale, Utah. The current practice location for is 7677 S Maple St, Midvale, Utah. For appointments, you can reach them via phone at (801) 288-0882. The mailing address for is 7677 S Maple St, Midvale, Utah and phone number is (801) 288-0882.

is licensed to practice in Utah (license number ). The clinic also participates in the medicare program and its NPI number is 1932284130. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 288-0882.

Contact Information


	7677 S Maple St Midvale UT 84047-7392
	(801) 288-0882
	(801) 288-0977

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	7677 S Maple St, Midvale, Utah
Authorized Official Name and Position	James M. Abraham (PRESIDENT)
Authorized Official Contact	8012880882
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
7677 S Maple St Midvale UT 84047-7392 Ph: (801) 288-0882	7677 S Maple St Midvale UT 84047-7392 Ph: (801) 288-0882

NPI Details:

NPI Number	1932284130
Provider Enumeration Date	10/26/2006
Last Update Date	08/08/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	8628972619
Medicare Enrollment ID	O20031121000245

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932284130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	James M Abraham
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1063597342 PECOS PAC ID: 3476451527 Enrollment ID: I20031227000021

Reviews and Comments

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- Medicare Primary Care in Midvale, UT