Dr Charles Thomas Ivester, MD | |
5957 Fashion Point Dr Ste 103, South Ogden, UT 84403-5180 | |
(385) 492-4930 | |
(385) 492-4449 |
Full Name | Dr Charles Thomas Ivester |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 28 Years |
Location | 5957 Fashion Point Dr Ste 103, South Ogden, 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 |
---|---|---|---|
1376585372 | NPI | - | NPPES |
1376585372 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 349313-1205 (Utah) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 349313-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
Ogden Regional Medical Center | Ogden, UT | Hospital |
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Mckay Dee Hospital | Ogden, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ogden Pulmonary Associates Pllc | 3678638517 | 8 |
Ogden Pulmonary Associates Pllc | 3678638517 | 8 |
Idaho Falls Community Hospital Llc | 9032441597 | 9 |
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 | Ogden Pulmonary Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457596801 PECOS PAC ID: 3678638517 Enrollment ID: O20090210000370 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Thomas Ivester, MD Po Box 150627, Ogden, UT 84415-0627 Ph: (385) 492-4930 | Dr Charles Thomas Ivester, MD 5957 Fashion Point Dr Ste 103, South Ogden, UT 84403-5180 Ph: (385) 492-4930 |
Wojciech C Janowski, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5957 Fashion Point Dr Ste 103, South Ogden, UT 84403 Phone: 385-492-4930 Fax: 385-492-4449 | |
Robert Cheney, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5957 Fashion Point Dr Ste 103, South Ogden, UT 84403 Phone: 385-492-4930 Fax: 801-807-7597 | |
Christopher K Anderson, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5957 Fashion Point Dr Ste 103, South Ogden, UT 84403 Phone: 385-492-4930 Fax: 385-492-4449 | |
Mohammad Omer Syed, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5957 Fashion Point Dr Ste 103, South Ogden, UT 84403 Phone: 385-492-4930 Fax: 385-492-4449 | |
Dr. Gaurav Dagar, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5957 Fashion Point Dr, South Ogden, UT 84403 Phone: 385-492-4930 Fax: 385-492-4449 | |
Terrence Wayne Andrews, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5957 Fashion Point Dr Ste 103, South Ogden, UT 84403 Phone: 385-492-4930 Fax: 385-492-4449 |