Dr Spencer Hayden Amundsen, MD | |
96 E Kimballs Ln Ste 207, Draper, UT 84020-5025 | |
(801) 576-2300 | |
(844) 249-1746 |
Full Name | Dr Spencer Hayden Amundsen |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 14 Years |
Location | 96 E Kimballs Ln Ste 207, Draper, 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 |
---|---|---|---|
1841517257 | NPI | - | NPPES |
1265638357 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 9655914-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lone Peak Hospital | Draper, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountainstar Specialty Services Llc | 4688767551 | 30 |
Entity Name | Physician Group Of Utah Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
Entity Name | Mountainstar Specialty Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265638357 PECOS PAC ID: 4688767551 Enrollment ID: O20070908000097 |
Mailing Address | Practice Location Address |
---|---|
Dr Spencer Hayden Amundsen, MD Po Box 100253, Atlanta, GA 30384-0253 Ph: (801) 568-5972 | Dr Spencer Hayden Amundsen, MD 96 E Kimballs Ln Ste 207, Draper, UT 84020-5025 Ph: (801) 576-2300 |
Paul Fenton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 419-537-5600 | |
Traske Mcneil Muir, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 844-249-1746 | |
Brian D Powell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 801-576-2399 | |
Stuart C Marshall Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 844-249-1746 | |
Charles L. Beck Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 844-249-1746 | |
Dr. Richard Brian Mackey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 844-249-1746 |