Mary E Brieske, MD | |
360 E 4500 S Ste 4, Salt Lake City, UT 84107-4297 | |
(801) 266-0055 | |
(801) 266-0056 |
Full Name | Mary E Brieske |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 32 Years |
Location | 360 E 4500 S Ste 4, Salt Lake City, 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 |
---|---|---|---|
1649267303 | NPI | - | NPPES |
MD3842 | Medicaid | AK | |
870326048001D7226 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 3842 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intermountain Medical Center | Murray, UT | Hospital |
Utah Valley Hospital | Provo, UT | Hospital |
Riverton Hospital | Riverton, UT | Hospital |
Lds Hospital | Salt lake city, UT | Hospital |
American Fork Hospital | American fork, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Pathology Services Inc | 1355251521 | 27 |
Entity Name | Utah Pathology Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134188998 PECOS PAC ID: 1355251521 Enrollment ID: O20031208000678 |
Mailing Address | Practice Location Address |
---|---|
Mary E Brieske, MD Po Box 30309, Charleston, SC 29417-0309 Ph: (843) 554-9300 | Mary E Brieske, MD 360 E 4500 S Ste 4, Salt Lake City, UT 84107-4297 Ph: (801) 266-0055 |
Yahya Daneshbod, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Robert E. Rogers, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Melissa Hankins Cessna, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8th Avenue & C Street, Salt Lake City, UT 84143 Phone: 801-408-1784 Fax: 801-408-5196 | |
Kajsa Elizabeth Affolter, Pathology Medicare: Accepting Medicare Assignments Practice Location: University Of Utah Hospital, 50 North Medical Drive, Salt Lake City, UT 84132 Phone: 801-581-2507 | |
John M. Daines, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112 Phone: 801-581-4390 | |
David R. Anderson, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Peter E. Jensen, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2507 |