Richard Blaine Iverson, DO in Salt Lake City, UT

Richard Blaine Iverson, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Salt Lake City, Utah. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Professional Diagnostics and his current practice location is 1050 E South Temple, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 350-4734.

Richard Blaine Iverson is licensed to practice in Utah (license number 8199146-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568788602.

Contact Information

	Richard Blaine Iverson, DO
	1050 E South Temple, Salt Lake City, UT 84102-1507
	(801) 350-4734
	Not Available

Map and Direction

Physician's Profile

Full Name	Richard Blaine Iverson
Gender	Male
Speciality	Pathology
Experience	17 Years
Location	1050 E South Temple, Salt Lake City, 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.

Medical Education and Training:

Richard Blaine Iverson attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2007

NPI Data:

NPI Number: 1568788602
Provider Enumeration Date: 04/14/2010
Last Update Date: 01/29/2013

Medicare PECOS Information:

PECOS PAC ID: 7113175209
Enrollment ID: I20120914000211

Medical Identifiers

Medical identifiers for Richard Blaine Iverson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568788602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	8199146-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Salt Lake Regional Medical Center	Salt lake city, UT	Hospital
Jordan Valley Medical Center	West jordan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Professional Diagnostics	0648202820	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Richard Blaine Iverson allows following entities to bill medicare on his behalf.

Entity Name	Professional Diagnostics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184670606 PECOS PAC ID: 0648202820 Enrollment ID: O20050908000704

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Blaine Iverson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Richard Blaine Iverson, DO 10003 S Chip Cir, South Jordan, UT 84095-2781 Ph: (801) 350-4734	Richard Blaine Iverson, DO 1050 E South Temple, Salt Lake City, UT 84102-1507 Ph: (801) 350-4734

Reviews and Comments

Pathology Doctors in Salt Lake City, UT

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

Richard Blaine Iverson, DO - Medicare Pathology in Salt Lake City, UT