| Daniel J Parker, MD | |
|
1400 N. 500 E., Logan, UT 84341 | |
| (435) 716-1000 | |
| (801) 951-2389 |
| Full Name | Daniel J Parker |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 1400 N. 500 E., Logan, 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 |
|---|---|---|---|
| 1164516878 | NPI | - | NPPES |
| 119840800 | Medicaid | WY | |
| 806894900 | Medicaid | ID | |
| D5562 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5530543-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Hospital | Logan, UT | Hospital |
| Bear River Valley Hospital | Tremonton, UT | Hospital |
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Intermountain Medical Center | Murray, UT | Hospital |
| Nell J Redfield Memorial Hospital | Malad, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Logan Radiology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212988 PECOS PAC ID: 5496669152 Enrollment ID: O20031117000669 |
| Entity Name | Tellica Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760197198 PECOS PAC ID: 3577950765 Enrollment ID: O20231201000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Parker, MD Po Box 1108, Bountiful, UT 84011 Ph: (801) 296-2113 | Daniel J Parker, MD 1400 N. 500 E., Logan, UT 84341 Ph: (435) 716-1000 |
Parker Eugene Ludwig, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 800-399-6438 | |
C. Richard Hopkins, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Mark D Anderson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Blake C. Mortenson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Jeffrey Scott Job, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Jason James Ginos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 800-399-6438 |