Family Tree Preventative Medicine Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Roy, Utah. The current practice location for Family Tree Preventative Medicine Llc is 5185 S 2275 W, Roy, Utah. For appointments, you can reach them via phone at
(801) 698-2144. The mailing address for Family Tree Preventative Medicine Llc is 5185 S 2275 W, Roy, Utah and phone number is (801) 698-2144.
Family Tree Preventative Medicine Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1043903024. 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) 698-2144.
Primary Care Clinic Profile
Full Name | Family Tree Preventative Medicine Llc |
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Speciality | Clinic/Center |
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Location | 5185 S 2275 W, Roy, Utah |
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Authorized Official Name and Position | Debra J Vigil (OWNER) |
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Authorized Official Contact | 8016982144 |
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Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Family Tree Preventative Medicine Llc 5185 S 2275 W Roy UT 84067-3442 Ph: (801) 698-2144 | Family Tree Preventative Medicine Llc 5185 S 2275 W Roy UT 84067-3442 Ph: (801) 698-2144 |
NPI Details:
NPI Number | 1043903024 |
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Provider Enumeration Date | 05/26/2023 |
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Last Update Date | 08/22/2023 |
Medicare PECOS Information:
Medicare PECOS PAC ID | 2961856042 |
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Medicare Enrollment ID | O20230922001671 |
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Medical Identifiers
Medical identifiers for Family Tree Preventative Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043903024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
261QP2300X | Clinic/center - Primary Care | (* (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.
Family Tree Preventative Medicine Llc acts as a billing entity for following providers:
Provider Name | Debra Vigil |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1821419490 PECOS PAC ID: 5193049070 Enrollment ID: I20170215002581 |
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