Dr Audrey A Jiricko, MD - Medicare Obstetrics/gynecology in Ogden, UT

Dr Audrey A Jiricko, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ogden, Utah. She went to Indiana University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 4403 Harrison Blvd, Ste #4815, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 387-8350.

Dr Audrey A Jiricko is licensed to practice in Utah (license number 5672616-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962510016.

Contact Information

Dr Audrey A Jiricko, MD
4403 Harrison Blvd, Ste #4815,
Ogden, UT 84403-3271
(801) 387-8350
(801) 387-8355

Map and Direction




Physician's Profile

Full NameDr Audrey A Jiricko
GenderFemale
SpecialityObstetrics/gynecology
Experience26 Years
Location4403 Harrison Blvd, Ogden, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Audrey A Jiricko attended and graduated from Indiana University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1962510016
  • Provider Enumeration Date: 08/28/2006
  • Last Update Date: 02/19/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0648179218
  • Enrollment ID: I20040819001576

Medical Identifiers

Medical identifiers for Dr Audrey A Jiricko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962510016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 56726168905 (Utah)Secondary
207V00000XObstetrics & Gynecology 5672616-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mckay Dee HospitalOgden, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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 Audrey A Jiricko allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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 Audrey A Jiricko 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 AddressPractice Location Address
Dr Audrey A Jiricko, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 779-6200
Dr Audrey A Jiricko, MD
4403 Harrison Blvd, Ste #4815,
Ogden, UT 84403-3271

Ph: (801) 387-8350

Reviews and Comments


Obstetrics & Gynecology Doctors in Ogden, UT

Wesley Boyd Davis, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1525 E 6000 S, Ogden, UT 84405
Phone: 801-337-5800    Fax: 801-337-5809
Dr. Sara Elizabeth Wood, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4403 Harrison Blvd, Ste 4815, Ogden, UT 84403
Phone: 801-387-8350    Fax: 801-387-8355
Dr. Azadeh E Poursaid, MD, PHD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1525 E 6000 S Ste A, Ogden, UT 84405
Phone: 801-337-5800    Fax: 801-337-5809
Dr. John David Lesser Ii, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 4403 Harrison Blvd, Suite 4650, Ogden, UT 84403
Phone: 801-387-4400    Fax: 801-387-4410
Dr. Steve F Johnson, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 4647 Madison Ave, Ogden, UT 84403
Phone: 801-479-1537    
Dr. Rodney Stephen Merrill, DO
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 434 E 5350 S, Suite A, Ogden, UT 84405
Phone: 801-479-1641    Fax: 801-476-8538
Alexander J Larson, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5495 S 500 E, Ste 310, Ogden, UT 84405
Phone: 801-475-3100    Fax: 801-475-3101

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.