Benjamin Clark Hermansen, RD | |
1739 W Sunset Blvd, St George, UT 84770-7141 | |
(435) 634-6000 | |
Not Available |
Full Name | Benjamin Clark Hermansen |
---|---|
Gender | Male |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 8 Years |
Location | 1739 W Sunset Blvd, St George, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356878516 | NPI | - | NPPES |
86076257 | Other | COMISSION ON DIETETIC REGISTRATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 10389003-4901 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Provider Name | Ihc Health Services Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Clark Hermansen, RD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 634-6000 | Benjamin Clark Hermansen, RD 1739 W Sunset Blvd, St George, UT 84770-7141 Ph: (435) 634-6000 |
Sara Fausett, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 230 N 1680 E Bldg N, St George, UT 84790 Phone: 435-634-7608 | |
Mckell Lemmon, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 652 S Medical Center Dr, St George, UT 84790 Phone: 435-720-2468 | |
Mr. Mark A Mayr, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 720 S River Rd Ste D1100, St George, UT 84790 Phone: 435-656-0857 | |
Mary Della Brown, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr Ste 1600, St George, UT 84790 Phone: 435-251-4150 | |
Christie Ann Benton, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 544 S 400 E, Clinical Nutrition, St George, UT 84770 Phone: 435-688-4184 | |
Jill Bryan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 |