| Dr Brent D Stephenson, MD | |
|
5444 Green St, Murray, UT 84123-5632 | |
| (801) 284-1755 | |
| (801) 262-3897 |
| Full Name | Dr Brent D Stephenson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 5444 Green St, Murray, 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 |
|---|---|---|---|
| 1366482432 | NPI | - | NPPES |
| D6205 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5866979-1205 (Utah) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | M-10234 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Intermountain Medical Center | Murray, UT | Hospital |
| Intermountain Health Mckay-dee Hospital | Ogden, UT | Hospital |
| Intermountain Health Cedar City Hospital | Cedar city, UT | Hospital |
| Intermountain Health Lds Hospital | Salt lake city, UT | Hospital |
| Intermountain Health Cassia Regional Hospital | Burley, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3948 |
| 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 | Mountain Medical Physician Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20031120000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent D Stephenson, MD 5444 Green St, Murray, UT 84123-5632 Ph: (801) 284-1755 | Dr Brent D Stephenson, MD 5444 Green St, Murray, UT 84123-5632 Ph: (801) 284-1755 |
Karen Anne Dittrich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 S. Green St., Murray, UT 84123 Phone: 801-262-8120 Fax: 801-262-3897 |
Dr. Jonathan Scott Shakespear, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 S. Green St., Murray, UT 84123 Phone: 801-262-8120 Fax: 801-262-3897 |
Dr. Richard Lewis Leake, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5295 S Commerce Dr Ste 550, Murray, UT 84107 Phone: 801-313-4110 |
Dr. Steven T Hunt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5334 S Woodrow St Ste 100, Murray, UT 84107 Phone: 801-713-0600 Fax: 801-713-0601 |
Dr. Cheryl Lynn Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5334 S Woodrow St Ste 100, Murray, UT 84107 Phone: 801-713-0600 Fax: 801-713-0601 |
Dr. Ivan Petrovitch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 |
Brian Matthew Sheehan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5323 S Woodrow St Ste 101, Murray, UT 84107 Phone: 801-313-7500 |