| Dr Derick R Fenton, MD | |
|
5417 S Commerce Dr Ste 100, Murray, UT 84107-5803 | |
| (248) 508-1266 | |
| Not Available |
| Full Name | Dr Derick R Fenton |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 15 Years |
| Location | 5417 S Commerce Dr Ste 100, 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 |
|---|---|---|---|
| 1750673539 | NPI | - | NPPES |
| 67185053 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 14257374-1205 (Utah) | Primary |
| 207V00000X | Obstetrics & Gynecology | DR.0055326 (Colorado) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bryan D Friedman Do Llc | 5799909263 | 3 |
| Entity Name | Bryan D Friedman Do Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841603875 PECOS PAC ID: 5799909263 Enrollment ID: O20140624002142 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derick R Fenton, MD 5655 E Beverly Ln, Scottsdale, AZ 85254-9206 Ph: (248) 508-1266 | Dr Derick R Fenton, MD 5417 S Commerce Dr Ste 100, Murray, UT 84107-5803 Ph: (248) 508-1266 |
Elizabeth Masm Mason, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5770 So 250 E #g 50, Murray, UT 84107 Phone: 801-314-4440 Fax: 801-314-4437 | |
Cherysh Hubbard Stock, DNP, WHNP, CNM Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-1800 | |
Dr. Taylor Jeffery Norton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5063 S Cottonwood St, Murray, UT 84107 Phone: 801-507-1800 | |
Dr. Lillian H. Goodman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St Ste 130, Murray, UT 84107 Phone: 801-507-7400 | |
Dr. Alex Richard Finlinson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St Ste 130, Murray, UT 84107 Phone: 801-507-7400 | |
Katelyn Tondo-steele, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5063 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 801-408-5155 | |
Martha Anice Andrea Monson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St # 130, Murray, UT 84107 Phone: 801-507-7400 |