Dr Jeffrey Penman, MD | |
505 W 400 N, Orem, UT 84057-1950 | |
(801) 714-3450 | |
Not Available |
Full Name | Dr Jeffrey Penman |
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Gender | Male |
Speciality | Pediatrics |
Location | 505 W 400 N, Orem, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437178076 | NPI | - | NPPES |
MD6108 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 10410184-1205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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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 |
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Dr Jeffrey Penman, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Dr Jeffrey Penman, MD 505 W 400 N, Orem, UT 84057-1950 Ph: (801) 714-3450 |
Jonathen Bartholomew, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 171 N 400 W, C12, Orem, UT 84057 Phone: 801-224-4550 Fax: 801-224-1057 | |
Ernest Andrew Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 716 W 800 N, Suite 300, Orem, UT 84057 Phone: 801-224-0421 Fax: 801-224-0821 | |
Dr. Dale R Gerstmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 750 W 800 N, Orem, UT 84057 Phone: 801-714-6511 Fax: 801-714-6597 | |
Dr. Dustin Edward Monroe, M.D., M.B.A. Pediatrics Medicare: Medicare Enrolled Practice Location: 750 W 800 N, Orem, UT 84057 Phone: 801-714-6350 | |
John R Wynn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 171 N 400 W, C-12, Orem, UT 84057 Phone: 801-224-4550 Fax: 801-224-1057 | |
Dr. Gregory Scott Wynn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 716 W 800 N Ste 300, Orem, UT 84057 Phone: 801-224-0421 Fax: 801-224-0821 |