Dr Gregory L Staker, MD in Roosevelt, UT - Medicare

Dr Gregory L Staker, MD is a medicare enrolled "Pediatrics" physician in Roosevelt, Utah. His current practice location is 210 W 300 N 75-3, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-3971.

Dr Gregory L Staker is licensed to practice in Utah (license number 49110821205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275593717.

Contact Information

	Dr Gregory L Staker, MD
	210 W 300 N 75-3, Roosevelt, UT 84066
	(435) 722-3971
	(435) 722-6104

Physician's Profile

Full Name	Dr Gregory L Staker
Gender	Male
Speciality
Experience	Years
Location	210 W 300 N 75-3, Roosevelt, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gregory L Staker attended and graduated from in

NPI Data:

NPI Number: 1275593717
Provider Enumeration Date: 03/27/2006
Last Update Date: 06/28/2017

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Gregory L Staker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275593717	NPI	-	NPPES
000006166	Other	UT	MEDICARE GROUP PIN
D3854	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	49110821205 (Utah)	Secondary
208000000X	Pediatrics	49110821205 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gregory L Staker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gregory L Staker, MD 210 W 300 N 75-3, Roosevelt, UT 84066 Ph: (435) 722-3971	Dr Gregory L Staker, MD 210 W 300 N 75-3, Roosevelt, UT 84066 Ph: (435) 722-3971

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Pediatrics Doctors in Roosevelt, UT

Dr. Shannon R Staker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104
Kyler Black, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Dr. Jason S Beales, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104

Dr Gregory L Staker, MD - Medicare in Roosevelt, UT