Dr Brian Dion Petrovich, PSYD | |
1186 E 4600 S, Ogden, UT 84403-4332 | |
(801) 505-6545 | |
Not Available |
Full Name | Dr Brian Dion Petrovich |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 22 Years |
Location | 1186 E 4600 S, 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 |
---|---|---|---|
1336110568 | NPI | - | NPPES |
494703309 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2004017583 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ogden Psychological Services Llc | 3072844505 | 2 |
Entity Name | Ogden Psychological Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417506270 PECOS PAC ID: 3072844505 Enrollment ID: O20191014001986 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Dion Petrovich, PSYD 1186 E 4600 S, Ogden, UT 84403-4332 Ph: (801) 505-6545 | Dr Brian Dion Petrovich, PSYD 1186 E 4600 S, Ogden, UT 84403-4332 Ph: (801) 505-6545 |
Dr. Jamie E Brass, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3903 Harrison Blvd Ste 300, Ogden, UT 84403 Phone: 801-387-5600 | |
Dr. Ricky D. Hawks, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5677 S 1475 E, Suite 4a, Ogden, UT 84403 Phone: 801-621-6032 Fax: 801-409-0905 | |
Tayler M Wayment, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3903 Harrison Blvd Ste 300, Ogden, UT 84403 Phone: 801-387-5600 | |
Hilary Jane Jensen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4387 Harrison Blvd Ste C4, Ogden, UT 84403 Phone: 801-387-4970 | |
Gary L Devries, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5030 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-5620 Fax: 801-475-1621 | |
Trae Mendenhall, Psychologist Medicare: Medicare Enrolled Practice Location: 237 26th St, Ogden, UT 84401 Phone: 801-625-3700 |