Jacob Whetzel, | |
375 S Chipeta Way, Salt Lake City, UT 84108-1260 | |
(801) 587-3411 | |
Not Available |
Full Name | Jacob Whetzel |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 375 S Chipeta Way, 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 |
---|---|---|---|
1548655368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10105799-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mineral Community Hospital | Superior, MT | Hospital |
St. Patrick Hospital | Missoula, MT | Hospital |
Community Medical Center | Missoula, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Missoula Community Health Services, Inc | 6709790603 | 4 |
Entity Name | Missoula Community Health Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710165105 PECOS PAC ID: 6709790603 Enrollment ID: O20031114000597 |
Entity Name | Missoula Community Health Services, Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1720136088 PECOS PAC ID: 6709790603 Enrollment ID: O20071001000351 |
Entity Name | Missoula Community Health Services, Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1902990005 PECOS PAC ID: 6709790603 Enrollment ID: O20190313001297 |
Mailing Address | Practice Location Address |
---|---|
Jacob Whetzel, 375 S Chipeta Way, Salt Lake City, UT 84108-1260 Ph: (801) 587-3411 | Jacob Whetzel, 375 S Chipeta Way, Salt Lake City, UT 84108-1260 Ph: (801) 587-3411 |
Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197 | |
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400 | |
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382 | |
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117 | |
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741 | |
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771 | |
Ms. Shannon B. Mckim, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108 Phone: 801-581-2121 |