John J Mytych, DPM | |
962 Chambers St, Ogden, UT 84403-5087 | |
(801) 373-2499 | |
(801) 373-5200 |
Full Name | John J Mytych |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 24 Years |
Location | 962 Chambers St, 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 |
---|---|---|---|
1457452476 | NPI | - | NPPES |
10140276-0501 | Other | UT | MEDICAL LICENSE |
Q00214425 | Other | UT | RR MEDICARE |
U00011270 | Other | UT | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 10140276-0501 (Utah) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016005082 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Podiatry Group, P.c. | 2163592379 | 10 |
Provider Name | Utah Podiatry Group, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659540359 PECOS PAC ID: 2163592379 Enrollment ID: O20080530000369 |
Mailing Address | Practice Location Address |
---|---|
John J Mytych, DPM 280 S Main St, Bountiful, UT 84010-6236 Ph: (801) 505-0821 | John J Mytych, DPM 962 Chambers St, Ogden, UT 84403-5087 Ph: (801) 373-2499 |
Mckay Dee Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, #2835, Ogden, UT 84403 Phone: 801-387-7945 | |
Kevin G Walker, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3225 Fax: 801-475-3227 | |
Dr. Susan Jespersen Agres, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405 Phone: 801-430-8406 | |
Dr. Chantel B Murrah, DPM PHD Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3590 Harrison Blvd, # G1, Ogden, UT 84403 Phone: 801-627-2122 Fax: 801-627-2125 | |
Wasatch Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405 Phone: 801-430-8406 | |
Lorell B Fawson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3590 Harrison Blvd, G1, Ogden, UT 84403 Phone: 801-627-2122 Fax: 801-627-2125 | |
Dr. David Matthew Graff, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd Ste 1885, Ogden, UT 84403 Phone: 801-387-4870 Fax: 801-387-4875 |