Dr Drew Howard Van Boerum, MD | |
5848 S 300 E, Murray, UT 84107-6121 | |
(801) 314-4900 | |
(801) 314-4919 |
Full Name | Dr Drew Howard Van Boerum |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 27 Years |
Location | 5848 S 300 E, 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 |
---|---|---|---|
1710925631 | NPI | - | NPPES |
942854057005 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 3641301205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Orthopedic Specialty Hospital | Murray, UT | Hospital |
Intermountain Medical Center | Murray, UT | Hospital |
Alta View Hospital | Sandy, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
The Orthopedic Clinic Lc | 8527090729 | 27 |
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 | The Orthopedic Clinic Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033148986 PECOS PAC ID: 8527090729 Enrollment ID: O20050908000871 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Dr Drew Howard Van Boerum, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 314-4900 | Dr Drew Howard Van Boerum, MD 5848 S 300 E, Murray, UT 84107-6121 Ph: (801) 314-4900 |
Mitchell Rohrback, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5316 S Woodrow St Ste 200, Murray, UT 84107 Phone: 801-747-1020 | |
Yvonne Potter Fuellenbach, PA-C Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5848 Fashion Blvd Ste 110, Murray, UT 84107 Phone: 801-314-4130 Fax: 801-314-4011 | |
Brian W Fukushima, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5316 S Woodrow St Ste 200, Murray, UT 84107 Phone: 801-747-1020 Fax: 801-747-1023 | |
Dr. Christopher Reid West, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 120, Murray, UT 84107 Phone: 801-314-4900 Fax: 801-314-4919 | |
David Christopher Evans, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5316 S Woodrow St Ste 200, Murray, UT 84107 Phone: 801-747-1020 | |
Stephen Warner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5323 South Woodrow Street, Suite 200, Murray, UT 84107 Phone: 801-747-1020 Fax: 801-747-1023 | |
Nathaniel A Ptak, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 |