Benjamin T Dedrickson, PA-C is a
Physician Assistant physician based in Layton, Utah. Benjamin T Dedrickson is licensed to practice in Utah (license number 10982649-1206) and his current practice location is 1580 W Antelope Dr Ste 110, Layton, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 807-7699.
NPI number for Benjamin T Dedrickson is 1710496047 and his current mailing address is 1489 S Higley Rd Ste 101, Gilbert, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710496047.
Physician's Profile
| Full Name | Benjamin T Dedrickson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1580 W Antelope Dr Ste 110, Layton, 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: 1710496047
- Provider Enumeration Date: 09/29/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Benjamin T Dedrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710496047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 6854 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 10982649-1206 (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. Benjamin T Dedrickson 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 |
|---|
Benjamin T Dedrickson, PA-C
1489 S Higley Rd Ste 101,
Gilbert, AZ 85296-4777
Ph: (480) 457-8800 | Benjamin T Dedrickson, PA-C
1580 W Antelope Dr Ste 110,
Layton, UT 84041-1153
Ph: (801) 807-7699 |
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