Bethanie Rosella White, MD | |
3723 W 12600 S Ste 270, Riverton, UT 84065-7296 | |
(801) 285-4600 | |
(801) 285-4601 |
Full Name | Bethanie Rosella White |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 15 Years |
Location | 3723 W 12600 S Ste 270, Riverton, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659515211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD60449457 (Washington) | Secondary |
208600000X | Surgery | 7771498-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Peter Hospital | Olympia, WA | Hospital |
Providence Centralia Hospital | Centralia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Associates Pllc | 5395633572 | 9 |
Entity Name | Surgical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447445424 PECOS PAC ID: 5395633572 Enrollment ID: O20040309000621 |
Mailing Address | Practice Location Address |
---|---|
Bethanie Rosella White, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Bethanie Rosella White, MD 3723 W 12600 S Ste 270, Riverton, UT 84065-7296 Ph: (801) 285-4600 |
Dr. Cabot Stratford Murdock, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 3723 W 12600 S, Suite 270, Riverton, UT 84065 Phone: 801-285-4620 | |
Dr. John Larsen Clayton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3723 W 12600 S Ste 270, Riverton, UT 84065 Phone: 801-285-4600 Fax: 801-285-4601 | |
Dr. Alice Faith Yuo Chung, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3723 W 12600 S, Suite 270a, Riverton, UT 84065 Phone: 801-285-4620 Fax: 801-285-4699 | |
Aaron Spencer Brockbank, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3723 W 12600 S Ste 270, Riverton, UT 84065 Phone: 801-285-4620 Fax: 801-285-4699 |