Peachtree Family Medicine Pc in Providence, UT

Peachtree Family Medicine Pc is a medicare enrolled primary clinic (Family Medicine) in Providence, Utah. The current practice location for Peachtree Family Medicine Pc is 565 W 465 N Ste 130, Providence, Utah. For appointments, you can reach them via phone at (435) 752-5553. The mailing address for Peachtree Family Medicine Pc is 169 N Gateway Dr, 170, Providence, Utah and phone number is (435) 752-5553.

Peachtree Family Medicine Pc is licensed to practice in Utah (license number 5916429-1205). The clinic also participates in the medicare program and its NPI number is 1679608582. 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) 752-5553.

Contact Information

	Peachtree Family Medicine Pc
	565 W 465 N Ste 130 Providence UT 84332-4802
	(435) 752-5553
	(435) 755-5043

Map and Direction

Primary Care Clinic Profile

Full Name	Peachtree Family Medicine Pc
Speciality	Family Medicine
Location	565 W 465 N Ste 130, Providence, Utah
Authorized Official Name and Position	Vera B Carlson (MD)
Authorized Official Contact	4357525553
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Peachtree Family Medicine Pc 169 N Gateway Dr 170 Providence UT 84332-9855 Ph: (435) 752-5553	Peachtree Family Medicine Pc 565 W 465 N Ste 130 Providence UT 84332-4802 Ph: (435) 752-5553

NPI Details:

NPI Number	1679608582
Provider Enumeration Date	02/22/2007
Last Update Date	11/06/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0941221436
Medicare Enrollment ID	O20051213000084

Medical Identifiers

Medical identifiers for Peachtree Family Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679608582	NPI	-	NPPES
225939539001	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5916429-1205 (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. Peachtree Family Medicine Pc acts as a billing entity for following providers:

Provider Name	Vera Carlson
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1023095585 PECOS PAC ID: 8921057803 Enrollment ID: I20051213000106

Reviews and Comments

Family Medicine in Providence, UT

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 N Gateway Dr Ste 130, Providence, UT 84332 Phone: 435-227-5371 Fax: 385-900-1612
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-213-4225
Living Tree Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 169 N Gateway Dr Ste 170, Providence, UT 84332 Phone: 435-565-6043 Fax: 435-215-4420
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6075 Fax: 435-994-8362
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332 Phone: 435-787-1023 Fax: 435-787-1883

Peachtree Family Medicine Pc - Medicare Primary Care in Providence, UT