Scott Gene Ferguson Jr, DDS is a medicare enrolled "Dentist - Periodontics" provider in Fruit Heights, Utah. His current practice location is
122 S. Mountain Rd., Fruit Heights, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 989-1492.
Scott Gene Ferguson Jr is licensed to practice in Utah (license number 272251-9922) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427125731.
Healthcare Provider's Profile
Full Name | Scott Gene Ferguson Jr |
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Gender | Male |
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Speciality | Dentist - Periodontics |
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Location | 122 S. Mountain Rd., Fruit Heights, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427125731
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 03/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 7315234051
- Enrollment ID: I20160923002056
Medical Identifiers
Medical identifiers for Scott Gene Ferguson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427125731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0300X | Dentist - Periodontics | 272251-9922 (Utah) | Primary |
1223P0300X | Dentist - Periodontics | 202782 (Colorado) | Secondary |
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. Scott Gene Ferguson Jr 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 |
Scott Gene Ferguson Jr, DDS 122 S. Mountain Rd., Fruit Heights, UT 84037 Ph: (801) 989-1492 | Scott Gene Ferguson Jr, DDS 122 S. Mountain Rd., Fruit Heights, UT 84037 Ph: (801) 989-1492 |
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