Jennifer Jones-medina, | |
390 N Main St, Bountiful, UT 84010-6046 | |
(801) 397-6301 | |
Not Available |
Full Name | Jennifer Jones-medina |
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Gender | Female |
Speciality | Psychologist |
Location | 390 N Main St, Bountiful, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417444555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 12986977-2501 (Utah) | Primary |
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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Jennifer Jones-medina, 390 N Main St, Bountiful, UT 84010-6046 Ph: (801) 397-6301 | Jennifer Jones-medina, 390 N Main St, Bountiful, UT 84010-6046 Ph: (801) 397-6301 |
Dr. Donald Randall, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-2186 | |
Lyndsey Evans, Psychologist Medicare: Medicare Enrolled Practice Location: 415 Medical Dr Ste D101, Bountiful, UT 84010 Phone: 801-683-1062 Fax: 801-295-5537 | |
Dr. Eden Deanne Steffey, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste D101, Bountiful, UT 84010 Phone: 801-683-1062 Fax: 801-295-5537 | |
Genesis D Reverol, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste A100, Bountiful, UT 84010 Phone: 801-683-1062 | |
Dr. Jerry Lynn Sandberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1470 N Main St Ste B, Bountiful, UT 84010 Phone: 801-299-9026 Fax: 801-299-9026 | |
Fred Brooks, M.ED; ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste D101, Bountiful, UT 84010 Phone: 801-683-1062 Fax: 801-295-5537 | |
Quincey Lee Atkin, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-294-1000 Fax: 801-292-8369 |