Dana C Ostermiller, MD | |
3725 W 4100 S, West Valley City, UT 84120-5530 | |
(801) 965-3600 | |
Not Available |
Full Name | Dana C Ostermiller |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3725 W 4100 S, West Valley City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609977842 | NPI | - | NPPES |
153634 | Medicaid | MT | |
93436 | Other | MT | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 10630 (Montana) | Secondary |
208000000X | Pediatrics | M11797 (Idaho) | Secondary |
208000000X | Pediatrics | 9406263-1205 (Utah) | Primary |
Entity Name | University Of Utah Community Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
Entity Name | University Of Utah Pediatric Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
Entity Name | University Of Utah Pediatric Acuity Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 |
Mailing Address | Practice Location Address |
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Dana C Ostermiller, MD 3725 W 4100 S, West Valley City, UT 84120-5530 Ph: (801) 965-3600 | Dana C Ostermiller, MD 3725 W 4100 S, West Valley City, UT 84120-5530 Ph: (801) 965-3600 |
Dr. Mary E Shapiro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3730 W 4700 S, West Valley City, UT 84118 Phone: 801-213-9200 | |
Mary Jane Pennington, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 | |
Dr. Ryan K Frome, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3448 | |
Dr. Julie I Wilkerson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 | |
Alyson Eyre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 | |
Craig A Brasher, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |