Dr Derek Scott Anselmo, DPM | |
2376 N 400 E Ste 204, Tooele, UT 84074-3413 | |
(610) 983-1000 | |
Not Available |
Full Name | Dr Derek Scott Anselmo |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 7 Years |
Location | 2376 N 400 E Ste 204, Tooele, 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 |
---|---|---|---|
1508386665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006858 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain West Medical Center | Tooele, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ryan K Anderson D P M P C | 7517999121 | 27 |
Provider Name | Ryan K Anderson D P M P C |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639200215 PECOS PAC ID: 7517999121 Enrollment ID: O20050903000007 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek Scott Anselmo, DPM 2376 N 400 E Ste 204, Tooele, UT 84074-3413 Ph: () - | Dr Derek Scott Anselmo, DPM 2376 N 400 E Ste 204, Tooele, UT 84074-3413 Ph: (610) 983-1000 |
Dr. David George Mckenzie Ii, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074 Phone: 801-582-1565 | |
Tooele Foot & Ankle Clinic, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 2356 N 400 E, Ste 104, Tooele, UT 84074 Phone: 435-882-0711 Fax: 435-882-1778 | |
Kim A. Halladay, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2356 N 400 E, Ste 104, Tooele, UT 84074 Phone: 435-882-0711 Fax: 435-882-1778 |