Jacqueline A Rendo, MD - Obstetrics & Gynecology in Salt Lake City, UT

Jacqueline A Rendo, MD is a Obstetrics & Gynecology physician based in Salt Lake City, Utah. Jacqueline A Rendo is licensed to practice in Utah (license number 7583334-1205) and her current practice location is 333 S 900 E, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 535-8163.

NPI number for Jacqueline A Rendo is 1407944457 and her current mailing address is Po Box 27128, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407944457.

Contact Information

Jacqueline A Rendo, MD
333 S 900 E,
Salt Lake City, UT 84102-2310
(801) 535-8163
(801) 355-4011

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Physician's Profile

Full NameJacqueline A Rendo
GenderFemale
SpecialityObstetrics & Gynecology
Location333 S 900 E, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407944457
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 03/16/2011

Medical Identifiers

Medical identifiers for Jacqueline A Rendo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407944457NPI-NPPES
797277MedicaidAS
AZ0741230OtherAZBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 30914 (Arizona)Secondary
207V00000XObstetrics & Gynecology 7583334-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline A Rendo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline A Rendo, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 535-8163
Jacqueline A Rendo, MD
333 S 900 E,
Salt Lake City, UT 84102-2310

Ph: (801) 535-8163

Reviews and Comments


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