Dr John Robert Gervasi, DDS is a
Student In An Organized Health Care Education/training Program based in Orem, Utah. Dr John Robert Gervasi is licensed to practice in * (Not Available) (license number ) and his current practice location is
1834 S State St, Orem, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 302-2600.
NPI number for Dr John Robert Gervasi is 1255909701 and his current mailing address is 1248 E Sophomore Cir, Salt Lake City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255909701.
Healthcare Provider's Profile
| Full Name | Dr John Robert Gervasi |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1834 S State St, Orem, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255909701
- Provider Enumeration Date: 06/11/2021
- Last Update Date: 07/26/2022
Medical Identifiers
Medical identifiers for Dr John Robert Gervasi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255909701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 12773533-9922 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 John Robert Gervasi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Robert Gervasi, DDS
1248 E Sophomore Cir,
Salt Lake City, UT 84117-4161
Ph: (440) 533-5775 | Dr John Robert Gervasi, DDS
1834 S State St,
Orem, UT 84097-8109
Ph: (801) 302-2600 |
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