Dr Crystal Brennen Wallentine, MD - Internal Medicine in Slc, UT

Dr Crystal Brennen Wallentine, MD is a Internal Medicine physician based in Slc, Utah. Dr Crystal Brennen Wallentine is licensed to practice in Utah (license number 3613633-1205) and her current practice location is 1937 E Saint Marys Dr, Slc, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 865-0549.

NPI number for Dr Crystal Brennen Wallentine is 1003060815 and her current mailing address is 1937 E Saint Marys Dr, Slc, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003060815.

Contact Information

Dr Crystal Brennen Wallentine, MD
1937 E Saint Marys Dr,
Slc, UT 84108-2245
(801) 865-0549
Not Available

Map and Direction




Physician's Profile

Full NameDr Crystal Brennen Wallentine
GenderFemale
SpecialityInternal Medicine
Location1937 E Saint Marys Dr, Slc, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003060815
  • Provider Enumeration Date: 11/06/2008
  • Last Update Date: 01/07/2023

Medical Identifiers

Medical identifiers for Dr Crystal Brennen Wallentine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003060815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 3613633-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Crystal Brennen Wallentine is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Crystal Brennen Wallentine, MD
1937 E Saint Marys Dr,
Slc, UT 84108-2245

Ph: (801) 865-0549
Dr Crystal Brennen Wallentine, MD
1937 E Saint Marys Dr,
Slc, UT 84108-2245

Ph: (801) 865-0549

Reviews and Comments


Internal Medicine Doctors in Slc, UT

Dr. Stephanie A Carney, MD
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Dr. Katherine Alisa Anderson, M.D.
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Yong Hui Ahn, MD
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Phone: 801-328-1260    Fax: 801-350-4361
Richard Sun Kyu Kwan Rose, MD
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Jessica Ann Walsh, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 50 N Medical Dr, Slc, UT 84132
Phone: 801-581-7899    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.