Atlas Medical Aco Llc - Medicare Primary Care in Logan, UT

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Atlas Medical Aco Llc is a medicare enrolled primary clinic (Clinic/center) in Logan, Utah. The current practice location for Atlas Medical Aco Llc is 258 S Main St Ste 210, Logan, Utah. For appointments, you can reach them via phone at (435) 999-9510. The mailing address for Atlas Medical Aco Llc is 258 S Main St Ste 210, Logan, Utah and phone number is () -.

Atlas Medical Aco Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1790513109. 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 (435) 999-9510.

Contact Information

Atlas Medical Aco Llc
258 S Main St Ste 210
Logan
UT 84321-5768
(435) 999-9510
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameAtlas Medical Aco Llc
SpecialityClinic/Center
Location258 S Main St Ste 210, Logan, Utah
Authorized Official Name and PositionGregory Chad Mangum (OWNER)
Authorized Official Contact4355145646
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Atlas Medical Aco Llc
258 S Main St Ste 210
Logan
UT 84321-5768

Ph: () -		Atlas Medical Aco Llc
258 S Main St Ste 210
Logan
UT 84321-5768

Ph: (435) 999-9510

NPI Details:

NPI Number1790513109
Provider Enumeration Date07/25/2024
Last Update Date10/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1456885227
Medicare Enrollment IDO20241115002118

Medical Identifiers

Medical identifiers for Atlas Medical Aco Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790513109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Atlas Medical Aco Llc acts as a billing entity for following providers:
Provider NameRyan H Larsen
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1235224932
PECOS PAC ID: 3971525064
Enrollment ID: I20060104000144
Provider NameBrett Cardon Porter
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134175037
PECOS PAC ID: 8628975463
Enrollment ID: I20060110000303
Provider NameNathan D Broschinsky
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467894998
PECOS PAC ID: 7719114537
Enrollment ID: I20131223001611
Provider NameJacob Brian Sanderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265094742
PECOS PAC ID: 3971834441
Enrollment ID: I20191015000287
Provider NameCarla Knighton Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588297360
PECOS PAC ID: 6901236868
Enrollment ID: I20200417001337
Provider NameAlexander Doxey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295265528
PECOS PAC ID: 4688943426
Enrollment ID: I20200619001912
Provider NameMiranda Paulsen Buttars
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144913344
PECOS PAC ID: 1153781695
Enrollment ID: I20230717000668

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.