| David G Hess, MD | |
|
950 Medical Dr, Brigham City, UT 84302-4724 | |
| (800) 594-6399 | |
| (801) 733-5618 |
| Full Name | David G Hess |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 950 Medical Dr, Brigham City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891715934 | NPI | - | NPPES |
| 54251 | Other | UT | DMBA |
| 12173 | Other | UT | PEHP |
| 870576522HE1 | Other | UT | EDUCATOR'S |
| 87040324684121 A002 | Other | UT | TRICARE |
| PRA04845 | Other | UT | MOLINA |
| 2080245 | Other | UT | UHC |
| QM0000076538 | Other | UT | ALTIUS |
| 107006185102 | Other | UT | IHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 172919-1205 (Utah) | Primary |
| Entity Name | Brigham Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710904800 PECOS PAC ID: 9335108299 Enrollment ID: O20041006000807 |
| Mailing Address | Practice Location Address |
|---|---|
| David G Hess, MD 1954 Fort Union Blvd, Salt Lake City, UT 84121-6800 Ph: (801) 993-9500 | David G Hess, MD 950 Medical Dr, Brigham City, UT 84302-4724 Ph: (800) 594-6399 |
Robert William Pedro Lyday, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 950 Medical Dr, Brigham City, UT 84302 Phone: 435-734-9471 | |
Mr. Joel D Gardner, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 950 S Medical Drive, Brigham City, UT 84302 Phone: 435-734-9471 Fax: 770-701-6674 |