Karen Anne Dittrich, MD | |
5444 S. Green St., Murray, UT 84123-5632 | |
(801) 262-8120 | |
(801) 262-3897 |
Full Name | Karen Anne Dittrich |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 5444 S. Green St., Murray, 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 |
---|---|---|---|
1003814013 | NPI | - | NPPES |
1003814013 | Other | UT | REGENCE BCBSUT |
107005898106 | Other | UT | SELECTHEALTH |
311802 | Other | UT | DESERET MUTUAL BENEFITS ADMINISTRATORS |
P00616149 | Other | UT | RAILROAD MEDICARE |
D0076 | Medicaid | UT | |
P00041680 | Other | UT | RAILROAD MEDICARE |
120442400 | Medicaid | WY | |
807039500 | Medicaid | ID | |
107005898103 | Other | UT | SELECTHEALTH |
1003814013 | Other | UT | UUHP |
103721 | Other | UT | PEHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 185077-1205 (Utah) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | M-11469 (Idaho) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Direct Radiology Pllc | 9436396165 | 33 |
Entity Name | Direct Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144572173 PECOS PAC ID: 9436396165 Enrollment ID: O20131216000313 |
Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20190501003286 |
Mailing Address | Practice Location Address |
---|---|
Karen Anne Dittrich, MD 5444 S. Green St., Murray, UT 84123-5632 Ph: (801) 262-8120 | Karen Anne Dittrich, MD 5444 S. Green St., Murray, UT 84123-5632 Ph: (801) 262-8120 |
Dr. Jonathan Scott Shakespear, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 S. Green St., Murray, UT 84123 Phone: 801-262-8120 Fax: 801-262-3897 | |
Dr. Steven T Hunt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 Green St, Murray, UT 84123 Phone: 801-262-8120 Fax: 801-262-3572 | |
Dr. Cheryl Lynn Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 Green St, Murray, UT 84123 Phone: 801-262-2647 Fax: 801-262-3897 | |
Dr. Ivan Petrovitch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 | |
Brian Matthew Sheehan, MD Radiology Medicare: Medicare Enrolled Practice Location: 5323 S Woodrow St Ste 101, Murray, UT 84107 Phone: 801-313-7500 | |
Dr. Wendell C Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 S. Green St., Murray, UT 84123 Phone: 801-262-2647 Fax: 801-262-3897 |