Wesley S Mortensen, MD | |
274 N Main St, Logan, UT 84321-3915 | |
(435) 753-1600 | |
(435) 753-9521 |
Full Name | Wesley S Mortensen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 19 Years |
Location | 274 N Main St, 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 |
---|---|---|---|
1336162924 | NPI | - | NPPES |
687920000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 351932-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Logan Regional Hospital | Logan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Interwest Anesthesia Associates Llc | 0042293359 | 27 |
Entity Name | Interwest Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841214483 PECOS PAC ID: 0042293359 Enrollment ID: O20040609000206 |
Mailing Address | Practice Location Address |
---|---|
Wesley S Mortensen, MD 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600 | Wesley S Mortensen, MD 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600 |
Jon R Robison, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Peter C Daines, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Vikas Garg, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Lyman B Stevens, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Joshua Tyler Christiansen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 | |
Richard B Palfreyman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Michael L Broadbent, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 |