John David Malouf, DO | |
1219 N 400 E, Logan, UT 84341-2321 | |
(435) 565-6043 | |
(435) 220-2030 |
Full Name | John David Malouf |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 1219 N 400 E, Logan, 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 |
---|---|---|---|
1992097612 | NPI | - | NPPES |
1992097612 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101018972 (Michigan) | Secondary |
207Q00000X | Family Medicine | 317131-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Logan Regional Hospital | Logan, 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 |
Entity Name | Living Tree Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639754583 PECOS PAC ID: 5294128963 Enrollment ID: O20220202001670 |
Mailing Address | Practice Location Address |
---|---|
John David Malouf, DO 2855 N 920 E, North Logan, UT 84341-5806 Ph: (435) 557-0354 | John David Malouf, DO 1219 N 400 E, Logan, UT 84341-2321 Ph: (435) 565-6043 |
Brant Wahlen Fonnesbeck, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N Ste K, Logan, UT 84341 Phone: 435-755-6061 | |
Amanda E Stott, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1260 | |
Douglas R Hyldahl, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 N 200 E, Logan, UT 84321 Phone: 435-713-2800 | |
David N N Casey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 N. 200 E., Logan, UT 84321 Phone: 435-713-2710 Fax: 435-713-2747 | |
Nathan H Call, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1652 S Main St, Logan, UT 84321 Phone: 435-752-6105 | |
Dr. Matthew John Welter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1219 N 400 E, Logan, UT 84341 Phone: 435-757-8943 | |
Glenn O Mortensen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1750 N 1000 E, Logan, UT 84341 Phone: 435-757-1516 |