James Everret Tollefson, DO | |
4403 Harrison Blvd Ste 3490, Ogden, UT 84403-3284 | |
(801) 387-2650 | |
(801) 387-2655 |
Full Name | James Everret Tollefson |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 8 Years |
Location | 4403 Harrison Blvd Ste 3490, Ogden, 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 |
---|---|---|---|
1366806986 | NPI | - | NPPES |
0445026 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 12925049-1204 (Utah) | Primary |
207R00000X | Internal Medicine | 34.013222 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mckay Dee Hospital | Ogden, UT | Hospital |
Layton Hospital | Layton, UT | Hospital |
Logan Regional Hospital | Logan, UT | Hospital |
Bear River Valley Hospital | Tremonton, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
James Everret Tollefson, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | James Everret Tollefson, DO 4403 Harrison Blvd Ste 3490, Ogden, UT 84403-3284 Ph: (801) 387-2650 |
Mikhail Shipotko, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 | |
Ewa Gniado, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 | |
Jaclyn Nguyen, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 | |
Dr. Timothy Trask, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-3654 | |
Gregory T Almony, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E, Suite #204, Ogden, UT 84405 Phone: 801-479-0194 Fax: 801-479-5642 | |
Brian W Pugh, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405 Phone: 801-475-5400 Fax: 801-475-8614 | |
Dr. Jack D Wahlen, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 |