Dr Benjamin A Rideout, DO | |
1733 Kudu Ct, Draper, UT 84020-9375 | |
(801) 572-8215 | |
Not Available |
Full Name | Dr Benjamin A Rideout |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 22 Years |
Location | 1733 Kudu Ct, Draper, 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 |
---|---|---|---|
1942402870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 6445822-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intermountain Medical Center | Murray, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain West Anesthesia Llc | 9032018502 | 246 |
Entity Name | Mountain West Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin A Rideout, DO 1733 Kudu Ct, Draper, UT 84020-9375 Ph: (801) 572-8215 | Dr Benjamin A Rideout, DO 1733 Kudu Ct, Draper, UT 84020-9375 Ph: (801) 572-8215 |
Justin Curtis, APRN-CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln, Draper, UT 84020 Phone: 801-233-9300 | |
Dr. Benjamin Metcalfe, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11925 S State St, Draper, UT 84020 Phone: 801-545-8000 | |
Derek Levoy Haight, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 408, Draper, UT 84020 Phone: 801-572-1186 | |
Craig Johnson, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln, Draper, UT 84020 Phone: 801-233-9300 | |
Tony Gianoulis, MD, MHA Anesthesiology Medicare: Medicare Enrolled Practice Location: 96 E Kimballs Ln, Draper, UT 84020 Phone: 801-641-7396 | |
David Wallace, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 738 Golden Pheasant Dr, Draper, UT 84020 Phone: 801-403-7980 |