Nathan Robert Bertoldo, MD, MPH | |
2245 N 400 E Ste 201, Logan, UT 84341-1891 | |
(435) 787-7001 | |
(801) 216-8357 |
Full Name | Nathan Robert Bertoldo |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 11 Years |
Location | 2245 N 400 E Ste 201, 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 |
---|---|---|---|
1851731558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 7092 (Nebraska) | Secondary |
207V00000X | Obstetrics & Gynecology | 10368191 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Obstetrics And Gynecology, Pc | 5890862726 | 35 |
Entity Name | Valley Obstetrics And Gynecology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588863377 PECOS PAC ID: 5890862726 Enrollment ID: O20080918000547 |
Mailing Address | Practice Location Address |
---|---|
Nathan Robert Bertoldo, MD, MPH 585 N 500 W, Provo, UT 84601-1548 Ph: (435) 557-0608 | Nathan Robert Bertoldo, MD, MPH 2245 N 400 E Ste 201, Logan, UT 84341-1891 Ph: (435) 787-7001 |
Ernest Brett Horsley, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
Dr. Francis Neal Mortenson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1141 Fox Farm Rd, Logan, UT 84321 Phone: 435-753-0870 Fax: 435-753-0870 | |
Kimberly D Mcculloch, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
James P Benedict, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
Mrs. Anne Sadler Blackett, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1325 N 600 E, Suite 102, Logan, UT 84341 Phone: 435-753-9999 | |
David A Kirkman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1325 No 600e, #102, Logan, UT 84341 Phone: 435-753-9999 Fax: 435-753-2301 | |
Dr. Jon W Ahlstrom, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N, Suite I, Logan, UT 84341 Phone: 435-753-1545 |