| Dr Cole Joseph Panushka, MD | |
|
1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | |
| (801) 298-1300 | |
| (801) 296-6199 |
| Full Name | Dr Cole Joseph Panushka |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 1433 N 1075 W Ste 104, Farmington, 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 |
|---|---|---|---|
| 1053392050 | NPI | - | NPPES |
| P00199626 | Other | UT | RR MEDICARE |
| 120889600 | Medicaid | WY | |
| P00651556 | Other | UT | RR MEDICARE |
| 10058 | Medicaid | UT | |
| 807112800 | Medicaid | ID | |
| 931718 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 1825061205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain West Medical Center | Tooele, UT | Hospital |
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Imaging Associates Inc | 1355394537 | 43 |
| Tooele Valley Imaging Llc | 2466624630 | 23 |
| Green River Radiology Pc | 5294123063 | 23 |
| Entity Name | Tanner Memorial Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
| Entity Name | Central Utah Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Entity Name | Utah Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629076229 PECOS PAC ID: 1355394537 Enrollment ID: O20050228000845 |
| Entity Name | Wasatch Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679645139 PECOS PAC ID: 7012949522 Enrollment ID: O20050906000837 |
| Entity Name | Tooele Valley Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699004499 PECOS PAC ID: 2466624630 Enrollment ID: O20111012000146 |
| Entity Name | Oquirrh Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568734143 PECOS PAC ID: 4082875448 Enrollment ID: O20120411000273 |
| Entity Name | Green River Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508533878 PECOS PAC ID: 5294123063 Enrollment ID: O20211027002062 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cole Joseph Panushka, MD Po Box 25488, Salt Lake City, UT 84125-0488 Ph: (800) 475-3698 | Dr Cole Joseph Panushka, MD 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 Ph: (801) 298-1300 |
Dr. Christopher J. Parr, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199 | |
Dr. David Ray Dedrickson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1433 N 1075 W, Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199 | |
Dr. Jason Anthony Kirkham, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199 | |
Colin David Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 | |
Dr. Trenton Mcneil Wright, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199 | |
Dr. Craig Michael Carpenter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199 |