Travis Todd Mckenzie, DO | |
4401 Harrison Blvd, Ogden, UT 84403 | |
(801) 387-2800 | |
Not Available |
Full Name | Travis Todd Mckenzie |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 12 Years |
Location | 4401 Harrison Blvd, Ogden, 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 |
---|---|---|---|
1386900595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 10246349-1204 (Utah) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 10246349-1204 (Utah) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mckay Dee Hospital | Ogden, UT | Hospital |
Intermountain Medical Center | Murray, UT | Hospital |
Logan Regional Hospital | Logan, UT | Hospital |
Layton Hospital | Layton, UT | Hospital |
Alta View Hospital | Sandy, 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: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Mountain Medical Physician Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20031120000357 |
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 | Tellica Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760197198 PECOS PAC ID: 3577950765 Enrollment ID: O20231201000761 |
Mailing Address | Practice Location Address |
---|---|
Travis Todd Mckenzie, DO 5444 S Green St, Murray, UT 84123-5632 Ph: (801) 313-4110 | Travis Todd Mckenzie, DO 4401 Harrison Blvd, Ogden, UT 84403 Ph: (801) 387-2800 |
Gary Lynn Whipple, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7400 | |
Dr. Barry M Birkin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2910 Washington Blvd, #310, Ogden, UT 84401 Phone: 801-621-6671 Fax: 801-627-6679 | |
Jason N Lance, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3830 Fax: 801-475-3838 | |
Dr. Shawn Dale Isaeff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5974 Fashion Point Dr Ste 110, Ogden, UT 84403 Phone: 801-917-2270 | |
Dr. Brandon J Fisher, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-475-4571 Fax: 801-475-6119 | |
Dr. Harvey R Hatch, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2910 Washington Blvd, Suite 310, Ogden, UT 84401 Phone: 801-621-6671 Fax: 801-627-6679 |