Rebecca Levine, Md, Pllc | |
1575 W 7000 S West Jordan UT 84084-3431 | |
(801) 569-9113 | |
(801) 569-9103 |
Full Name | Rebecca Levine, Md, Pllc |
---|---|
Speciality | Family Medicine |
Location | 1575 W 7000 S, West Jordan, Utah |
Authorized Official Name and Position | Rebecca Levine (OWNER / MD) |
Authorized Official Contact | 8015699119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rebecca Levine, Md, Pllc Po Box 413008 Salt Lake City UT 84141-0001 Ph: (801) 569-9119 | Rebecca Levine, Md, Pllc 1575 W 7000 S West Jordan UT 84084-3431 Ph: (801) 569-9113 |
NPI Number | 1972759371 |
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Provider Enumeration Date | 08/18/2008 |
Last Update Date | 06/21/2018 |
Medicare PECOS PAC ID | 1850467630 |
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Medicare Enrollment ID | O20080902000130 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972759371 | NPI | - | NPPES |
1972759371 | Other | UT | CORP NPI |
1316986136 | Other | UT | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33292020-1205 (Utah) | Primary |
Provider Name | Rebecca J Levine |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316986136 PECOS PAC ID: 0345212098 Enrollment ID: I20040812000100 |
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