Jessica Petrovich, MD | |
4745 S 3200 W, Taylorsville, UT 84129-2822 | |
(801) 964-6214 | |
(877) 497-4661 |
Full Name | Jessica Petrovich |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 7 Years |
Location | 4745 S 3200 W, Taylorsville, 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 |
---|---|---|---|
1265865125 | NPI | - | NPPES |
74-2412898 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10964121-1205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Centers Inc | 5991698169 | 35 |
Entity Name | Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952505117 PECOS PAC ID: 5991698169 Enrollment ID: O20040203000767 |
Mailing Address | Practice Location Address |
---|---|
Jessica Petrovich, MD 2621 S 3270 W, West Valley City, UT 84119-1119 Ph: (385) 261-2737 | Jessica Petrovich, MD 4745 S 3200 W, Taylorsville, UT 84129-2822 Ph: (801) 964-6214 |
Zorica Andrea Ljubic, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 019-646-2148 Fax: 877-497-4661 | |
Dr. Luke Joshua Heitz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2000 | |
Chad Alan Spain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 Phone: 801-840-2100 | |
Faryal Turtle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2000 Fax: 801-840-2179 | |
Michelle L Winter, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2100 | |
Krystal G Bramwell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 019-646-2148 Fax: 877-497-4661 |