Patrick Green Md Pllc - Medicare Primary Care in Tooele, UT

Patrick Green Md Pllc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Tooele, Utah. The current practice location for Patrick Green Md Pllc is 134 W 1180 N Suite # 5, Tooele, Utah. For appointments, you can reach them via phone at (435) 248-0333. The mailing address for Patrick Green Md Pllc is 134 W 1180 N Suite # 5, Tooele, Utah and phone number is (435) 248-0333.

Patrick Green Md Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1518256650. 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) 248-0333.

Contact Information

Patrick Green Md Pllc
134 W 1180 N Suite # 5
Tooele
UT 84074
(435) 248-0333
(435) 248-0334

Primary Care Clinic Profile

Full NamePatrick Green Md Pllc
SpecialityClinic/Center
Location134 W 1180 N Suite # 5, Tooele, Utah
Authorized Official Name and PositionPatrick N Green (OWNER)
Authorized Official Contact8018285857
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patrick Green Md Pllc
134 W 1180 N Suite # 5
Tooele
UT 84074

Ph: (435) 248-0333
Patrick Green Md Pllc
134 W 1180 N Suite # 5
Tooele
UT 84074

Ph: (435) 248-0333

NPI Details:

NPI Number1518256650
Provider Enumeration Date03/29/2011
Last Update Date11/18/2011

Medicare PECOS Information:

Medicare PECOS PAC ID6204000102
Medicare Enrollment IDO20111110000358

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Medical Identifiers

Medical identifiers for Patrick Green Md Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518256650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/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. Patrick Green Md Pllc acts as a billing entity for following providers:
Provider NameHilary S Seibert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275623894
PECOS PAC ID: 0547164055
Enrollment ID: I20050111000917

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Provider NamePatrick N Green
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144431800
PECOS PAC ID: 1951452531
Enrollment ID: I20090622000118

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Provider NameMichael Reed Austin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356622732
PECOS PAC ID: 6103144860
Enrollment ID: I20150409002385

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Provider NameShaun T Gundersen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659721934
PECOS PAC ID: 3173807385
Enrollment ID: I20170308001104

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Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336536564
PECOS PAC ID: 5698028348
Enrollment ID: I20181025001494

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Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235649674
PECOS PAC ID: 2668733064
Enrollment ID: I20181031000064

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Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1821365602
PECOS PAC ID: 2163867706
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Clinic/Center in Tooele, UT

Valley Family Medicine Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2376 N 400 E Ste 102, Tooele, UT 84074
Phone: 435-843-1225    Fax: 435-843-1228
Oasis Family Medicine
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1929 Aaron Dr, Suite I, Tooele, UT 84074
Phone: 435-833-0229    Fax: 435-833-0231
Spine And Posture Rehabilitation Of Tooele
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 300 S Main St, Suite 2, Tooele, UT 84074
Phone: 435-882-1621    Fax: 435-882-8267
Tooele Clinic Corp
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1887 Aaron Dr Ste B, Tooele, UT 84074
Phone: 435-775-9973    Fax: 435-775-9985
Granger Medical Clinic Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2356 N 400 E Ste 201, Tooele, UT 84074
Phone: 801-352-5900    Fax: 801-352-5914
Ram C Sharma, Md Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 255 S 100 E, Tooele, UT 84074
Phone: 435-882-0424    Fax: 435-843-1511
Blake R. Beazer, M.d., Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2356 N 400 E, Ste. 201, Tooele, UT 84074
Phone: 435-882-2350    Fax: 435-882-2039

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