Dr Michael Prochaska, MD | |
2000 Circle Of Hope Dr, Salt Lake City, UT 84112-5550 | |
(801) 587-4357 | |
Not Available |
Full Name | Dr Michael Prochaska |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 13 Years |
Location | 2000 Circle Of Hope Dr, Salt Lake City, 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 |
---|---|---|---|
1609249101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 9404572-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence Memorial Hospital | Lawrence, KS | Hospital |
University Of Kansas Hospital | Kansas city, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lawrence Clinical Laboratory Chartered | 5092700443 | 3 |
Entity Name | Lawrence Clinical Laboratory Chartered |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417928433 PECOS PAC ID: 5092700443 Enrollment ID: O20040416000225 |
Mailing Address | Practice Location Address |
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Dr Michael Prochaska, MD 2000 Circle Of Hope Dr, Salt Lake City, UT 84112-5550 Ph: (801) 587-4357 | Dr Michael Prochaska, MD 2000 Circle Of Hope Dr, Salt Lake City, UT 84112-5550 Ph: (801) 587-4357 |
Yahya Daneshbod, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Robert E. Rogers, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Melissa Hankins Cessna, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8th Avenue & C Street, Salt Lake City, UT 84143 Phone: 801-408-1784 Fax: 801-408-5196 | |
Kajsa Elizabeth Affolter, Pathology Medicare: Accepting Medicare Assignments Practice Location: University Of Utah Hospital, 50 North Medical Drive, Salt Lake City, UT 84132 Phone: 801-581-2507 | |
David R. Anderson, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Peter E. Jensen, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2507 | |
Dr. Angelica Rocio Putnam, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 N Medical Dr, Primay Children's Medical Center Dept Of Pathology, Salt Lake City, UT 84113 Phone: 801-662-2150 Fax: 801-662-2165 |