Dr John Emil Wennergren, MD | |
3550 N University Ave Ste 250, Provo, UT 84604-6695 | |
(801) 374-9625 | |
(801) 374-9625 |
Full Name | Dr John Emil Wennergren |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 15 Years |
Location | 3550 N University Ave Ste 250, Provo, 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 |
---|---|---|---|
1053545434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 47353 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Utah Valley Hospital | Provo, UT | Hospital |
American Fork Hospital | American fork, UT | Hospital |
Jordan Valley Medical Center | West jordan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Utah Surgical Associates Inc | 4486686698 | 44 |
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 | Utah Surgical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851450720 PECOS PAC ID: 4486686698 Enrollment ID: O20050908000912 |
Mailing Address | Practice Location Address |
---|---|
Dr John Emil Wennergren, MD 3550 N University Ave Ste 250, Provo, UT 84604-6695 Ph: (801) 374-9625 | Dr John Emil Wennergren, MD 3550 N University Ave Ste 250, Provo, UT 84604-6695 Ph: (801) 374-9625 |
Spencer Larson Hill, DO Surgery Medicare: Medicare Enrolled Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Brian Gill, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3550 N. University Ave. #250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. James M Clayton Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 River Park Dr, Ste 240, Provo, UT 84604 Phone: 801-375-4646 Fax: 801-375-1999 | |
James Robert Barrett, MD Surgery Medicare: Medicare Enrolled Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. Todd B Engen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-379-2900 Fax: 801-374-6295 | |
Lee M Peterson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3550 N University Ave, Suite 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 |