Wayne W Mortensen, MD | |
1157 N 300 W, #201, Provo, UT 84604-6124 | |
(801) 357-8898 | |
Not Available |
Full Name | Wayne W Mortensen |
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Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 44 Years |
Location | 1157 N 300 W, Provo, 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 |
---|---|---|---|
1346256690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | 1762231205 (Utah) | Primary |
Facility Name | Location | Facility Type |
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Utah Valley Hospital | Provo, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Wayne W Mortensen, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 357-8898 | Wayne W Mortensen, MD 1157 N 300 W, #201, Provo, UT 84604-6124 Ph: (801) 357-8898 |
Travis A Peterson, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1055 N 500 W Ste 207, Provo, UT 84604 Phone: 801-375-4263 Fax: 801-429-8085 | |
Michael Callahan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Provo, UT 84604 Phone: 801-763-3885 Fax: 801-763-3887 | |
Jeffrey M Wallentine, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 121, Provo, UT 84604 Phone: 801-373-7350 Fax: 801-812-5401 | |
Dr. Trevor Shelton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1200 | |
Toby Johnson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 207, Provo, UT 84604 Phone: 801-373-7350 Fax: 801-429-8085 | |
Richard T Jackson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1055 N 500 W, Suite 121, Provo, UT 84604 Phone: 801-373-7350 Fax: 801-812-5401 | |
Joshua Nelson Speirs, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1157 N 300 W Ste 302, Provo, UT 84604 Phone: 801-357-4470 Fax: 801-357-4473 |