Dr Kathleen Marie Bonebrake, MD | |
501 S Chipeta Way, Salt Lake City, UT 84108 | |
(801) 587-8626 | |
Not Available |
Full Name | Dr Kathleen Marie Bonebrake |
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Gender | Female |
Speciality | Psychiatry |
Experience | 8 Years |
Location | 501 S Chipeta Way, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245692466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 10505880-1205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Utah Behavioral Health Services | 9537483607 | 152 |
Entity Name | University Of Utah Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
Entity Name | University Of Utah Acuity Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathleen Marie Bonebrake, MD 32 O Street, Salt Lake City, UT 84103-3040 Ph: (435) 559-2829 | Dr Kathleen Marie Bonebrake, MD 501 S Chipeta Way, Salt Lake City, UT 84108 Ph: (801) 587-8626 |
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 |