Dr Andrew Fedoravicius, MD in West Valley City, UT

Dr Andrew Fedoravicius, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in West Valley City, Utah. He went to University Of New Mexico School Of Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Exodus Healthcare Network Pllc, Granger Medical Clinic Pc and his current practice location is 2965 W 3500 S, West Valley City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 965-3600.

Dr Andrew Fedoravicius is licensed to practice in Utah (license number 6360128-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851585087.

Contact Information

	Dr Andrew Fedoravicius, MD
	2965 W 3500 S, West Valley City, UT 84119-3602
	(801) 965-3600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Andrew Fedoravicius
Gender	Male
Speciality	Gastroenterology
Experience	22 Years
Location	2965 W 3500 S, West Valley City, 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.

Medical Education and Training:

Dr Andrew Fedoravicius attended and graduated from University Of New Mexico School Of Medicine in 2004

NPI Data:

NPI Number: 1851585087
Provider Enumeration Date: 08/30/2007
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 6103985593
Enrollment ID: I20081029000795

Medical Identifiers

Medical identifiers for Dr Andrew Fedoravicius such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851585087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	6360128-1205 (Utah)	Secondary
208M00000X	Hospitalist	7471341-1205 (Utah)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	6360128-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jordan Valley Medical Center	West jordan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Exodus Healthcare Network Pllc	1456265057	27
Granger Medical Clinic Pc	3476465691	172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Andrew Fedoravicius allows following entities to bill medicare on his behalf.

Entity Name	Granger Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159

Entity Name	Exodus Healthcare Network Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306952783 PECOS PAC ID: 1456265057 Enrollment ID: O20031118000408

Entity Name	Granger Medical Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrew Fedoravicius is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Andrew Fedoravicius, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600	Dr Andrew Fedoravicius, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600

Reviews and Comments

Internal Medicine Doctors in West Valley City, UT

Dr. Warren R Stack, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3540 S 4000 W, 350, West Valley City, UT 84120 Phone: 801-968-8692 Fax: 801-968-9632
James Russell Grua, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600
Kenneth Schaecher, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 Fax: 801-965-3526
Charles W Haws, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, Suite 201, West Valley City, UT 84120 Phone: 801-676-3776 Fax: 801-676-0987
David Oelsner, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600
J David Bane, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 South, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526
Alison Oakes, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600

Dr Andrew Fedoravicius, MD - Medicare Gastroenterology in West Valley City, UT