Mrs Jessica Lauren Madert Herzog, MD is a medicare enrolled "General Practice" physician in Lehi, Utah. Her current practice location is
3397 N 1200 E Ste 103, Lehi, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 797-0877.
Mrs Jessica Lauren Madert Herzog is licensed to practice in Utah (license number 8450572-1205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912035221.
Physician's Profile
Full Name | Mrs Jessica Lauren Madert Herzog |
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Gender | Female |
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Speciality | General Practice |
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Location | 3397 N 1200 E Ste 103, Lehi, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912035221
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 02/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991867905
- Enrollment ID: I20180523000117
Medical Identifiers
Medical identifiers for Mrs Jessica Lauren Madert Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912035221 | NPI | - | NPPES |
420536 | Other | PA | UPMC |
2983938 | Other | PA | HIGHMARK BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 8450572-1205 (Utah) | Secondary |
208000000X | Pediatrics | MD449593 (Pennsylvania) | Secondary |
208D00000X | General Practice | MD449593 (Pennsylvania) | Secondary |
208D00000X | General Practice | 8450572-1205 (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. Mrs Jessica Lauren Madert Herzog is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jessica Lauren Madert Herzog, MD 3397 N 1200 E Ste 103, Lehi, UT 84043-3262 Ph: (801) 797-0877 | Mrs Jessica Lauren Madert Herzog, MD 3397 N 1200 E Ste 103, Lehi, UT 84043-3262 Ph: (801) 797-0877 |
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