Dr Ivan Petrovitch, MD | |
5121 S Cottonwood St, Murray, UT 84107-5701 | |
(801) 507-7000 | |
Not Available |
Full Name | Dr Ivan Petrovitch |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 22 Years |
Location | 5121 S Cottonwood 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 |
---|---|---|---|
1063541993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 13516848-1205 (Utah) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 0101245045 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intermountain Medical Center | Murray, UT | Hospital |
Mckay Dee Hospital | Ogden, UT | Hospital |
Cedar City Hospital | Cedar city, UT | Hospital |
Alta View Hospital | Sandy, UT | Hospital |
Lds Hospital | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northern Virginia Radiology Consultants, Pllc | 8426117458 | 29 |
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Northern Virginia Radiology Consultants, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942463625 PECOS PAC ID: 8426117458 Enrollment ID: O20081106000042 |
Mailing Address | Practice Location Address |
---|---|
Dr Ivan Petrovitch, MD 5217 S State St Ste 200, Murray, UT 84107-4812 Ph: (801) 313-4118 | Dr Ivan Petrovitch, MD 5121 S Cottonwood St, Murray, UT 84107-5701 Ph: (801) 507-7000 |
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 | |
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 |