| Dr Jamal S Hejazi, MD | |
|
1141 E 3900 S, Salt Lake City, UT 84124-1250 | |
| (801) 284-4990 | |
| (801) 284-4991 |
| Full Name | Dr Jamal S Hejazi |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1141 E 3900 S, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558332437 | NPI | - | NPPES |
| 942938348HE2 | Other | UT | EDUCATORS MUTUAL |
| 107007645101 | Other | UT | INTRMTN HEALTH CARE |
| 263060 | Other | UT | DESERET MUTUAL |
| Entity Name | Odyssey House Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033143706 PECOS PAC ID: 2365458833 Enrollment ID: O20060222000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jamal S Hejazi, MD 1141 E 3900 S Ste A170, Salt Lake City, UT 84124-1250 Ph: (801) 284-4990 | Dr Jamal S Hejazi, MD 1141 E 3900 S, Salt Lake City, UT 84124-1250 Ph: (801) 284-4990 |
Dr. Eric Thayne Monson, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096 | |
Dr. Gerald Martin Lazar, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2005 E 2700 S, Suite 180, Salt Lake City, UT 84109 Phone: 801-746-2297 Fax: 801-322-3890 | |
Muharrem B. Baytunca, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-4096 | |
Leah M. Fortson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Huntsman Mental Health Institute, 501 Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096 | |
Christopher R. Sweeney, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-7951 Fax: 801-581-5604 | |
Norman L. Foster, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-6387 | |
Dr. Amy Gallop Weagley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-2121 |