| Benjamin Van Leeuwen, MD | |
|
2121 N 1700 W, Layton, UT 84041-8803 | |
| (801) 773-4840 | |
| Not Available |
| Full Name | Benjamin Van Leeuwen |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 8 Years |
| Location | 2121 N 1700 W, Layton, 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 |
|---|---|---|---|
| 1942734785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 11938408-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanner Memorial Clinic | 4284547985 | 231 |
| Entity Name | Tanner Memorial Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Van Leeuwen, MD 2121 N 1700 W, Layton, UT 84041-8803 Ph: (801) 773-4840 | Benjamin Van Leeuwen, MD 2121 N 1700 W, Layton, UT 84041-8803 Ph: (801) 773-4840 |
Rene Valles, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Patrick Aaron Bell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Mohamed Habibulla Sadiq, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 | |
Dr. Christopher M Lang, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Orin H Ogilvie, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2250 Robins Dr, Layton, UT 84041 Phone: 801-773-7060 | |
Brent R Amil, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Dr. Julie A. Wiese, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 |