| Dr Claudia Castelnovi, MD | |
|
390 N Main St, Bountiful, UT 84010-6046 | |
| (801) 397-6350 | |
| (385) 212-3234 |
| Full Name | Dr Claudia Castelnovi |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 390 N Main St, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417279324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 12859434-1205 (Utah) | Secondary |
| 208000000X | Pediatrics | A111170 (California) | Primary |
| Entity Name | Southern Monterey County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114917564 PECOS PAC ID: 7719883461 Enrollment ID: O20050216000803 |
| Entity Name | La Maestra Family Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901 |
| Entity Name | Southern Monterey County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1114917564 PECOS PAC ID: 7719883461 Enrollment ID: O20200521000977 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Claudia Castelnovi, MD 390 N Main St, Bountiful, UT 84010-6046 Ph: (801) 397-6350 | Dr Claudia Castelnovi, MD 390 N Main St, Bountiful, UT 84010-6046 Ph: (801) 397-6350 |
Dr. Kathleen M Liou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 |
Dr. Brenda M Ritson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6350 Fax: 801-294-1183 |
Dr. Jonathan Milton Tew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 |
Dr. Allison L Groebs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 |
Clark K. Loftus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, #100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 |
Dr. Douglas Brent Nielsen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-294-1080 Fax: 801-292-8369 |
Pamela J. Hildebrand, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, #100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 |