Isha Gupta, MD | |
4360 Washington Blvd, Ogden, UT 84403-1866 | |
(801) 476-0494 | |
(801) 479-3937 |
Full Name | Isha Gupta |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 9 Years |
Location | 4360 Washington Blvd, Ogden, 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 |
---|---|---|---|
1972980332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 12879547-1205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mt Ogden Eye Center Llc | 2860474962 | 18 |
Entity Name | Mt Ogden Eye Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700927043 PECOS PAC ID: 2860474962 Enrollment ID: O20040602001630 |
Mailing Address | Practice Location Address |
---|---|
Isha Gupta, MD 4360 Washington Blvd, Attn Credentialing, Ogden, UT 84403-1866 Ph: (801) 476-0494 | Isha Gupta, MD 4360 Washington Blvd, Ogden, UT 84403-1866 Ph: (801) 476-0494 |
Mr. Michael B Wilcox, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4360 Washington Blvd, Ogden, UT 84403 Phone: 801-476-0494 Fax: 801-476-0067 | |
Benjamin T Dastrup, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 875 Country Hills Dr, Ogden, UT 84403 Phone: 801-399-1149 Fax: 801-394-4481 | |
Dr. Scott Owen Sykes, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4360 Washington Blvd, Ogden, UT 84403 Phone: 801-476-0494 | |
Dr. Jeremiah V Church, O.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 875 Country Hills Dr, Ogden, UT 84403 Phone: 801-399-1149 | |
Dr. Brice Jason Williams, M.D., PH.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd., Suite 3600, Ogden, UT 84403 Phone: 801-387-3550 Fax: 801-387-3555 | |
Jesse Scott Swift, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 875 Country Hills Dr, Ogden, UT 84403 Phone: 801-399-1149 | |
Dr. Peter Garrett Coombs, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4360 Washington Blvd, Ogden, UT 84403 Phone: 801-476-0494 Fax: 801-479-3937 |