Dr Kathleen Ann Trach-moskun, MD | |
390 N Main St, Bountiful, UT 84010-6046 | |
(801) 294-1070 | |
(801) 292-8369 |
Full Name | Dr Kathleen Ann Trach-moskun |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 390 N Main St, Bountiful, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841246410 | NPI | - | NPPES |
942854057086 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 3125631205 (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 |
---|---|
Dr Kathleen Ann Trach-moskun, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 294-1070 | Dr Kathleen Ann Trach-moskun, MD 390 N Main St, Bountiful, UT 84010-6046 Ph: (801) 294-1070 |
Dr. Kathleen M Liou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 | |
Dr. Brenda M Ritson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6350 Fax: 801-294-1183 | |
Dr. Jonathan Milton Tew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 | |
Dr. Allison L Groebs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 | |
Clark K. Loftus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, #100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 | |
Dr. Douglas Brent Nielsen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-294-1080 Fax: 801-292-8369 | |
Pamela J. Hildebrand, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, #100, Bountiful, UT 84010 Phone: 801-295-2888 Fax: 801-295-0311 |