Dr Brent D Stephenson, MD | |
5444 Green St, Murray, UT 84123-5632 | |
(801) 284-1755 | |
(801) 262-3897 |
Full Name | Dr Brent D Stephenson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 5444 Green St, Murray, 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 |
---|---|---|---|
1366482432 | NPI | - | NPPES |
D6205 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 5866979-1205 (Utah) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | M-10234 (Idaho) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Intermountain Medical Center | Murray, UT | Hospital |
Mckay Dee Hospital | Ogden, UT | Hospital |
Cedar City Hospital | Cedar city, UT | Hospital |
Lds Hospital | Salt lake city, UT | Hospital |
Alta View Hospital | Sandy, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Mountain Medical Physician Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20031120000357 |
Entity Name | Tellica Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760197198 PECOS PAC ID: 3577950765 Enrollment ID: O20231201000761 |
Mailing Address | Practice Location Address |
---|---|
Dr Brent D Stephenson, MD 5444 Green St, Murray, UT 84123-5632 Ph: (801) 284-1755 | Dr Brent D Stephenson, MD 5444 Green St, Murray, UT 84123-5632 Ph: (801) 284-1755 |
Karen Anne Dittrich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 S. Green St., Murray, UT 84123 Phone: 801-262-8120 Fax: 801-262-3897 | |
Dr. Jonathan Scott Shakespear, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 S. Green St., Murray, UT 84123 Phone: 801-262-8120 Fax: 801-262-3897 | |
Dr. Steven T Hunt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 Green St, Murray, UT 84123 Phone: 801-262-8120 Fax: 801-262-3572 | |
Dr. Cheryl Lynn Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 Green St, Murray, UT 84123 Phone: 801-262-2647 Fax: 801-262-3897 | |
Dr. Ivan Petrovitch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 | |
Brian Matthew Sheehan, MD Radiology Medicare: Medicare Enrolled Practice Location: 5323 S Woodrow St Ste 101, Murray, UT 84107 Phone: 801-313-7500 | |
Dr. Wendell C Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 S. Green St., Murray, UT 84123 Phone: 801-262-2647 Fax: 801-262-3897 |