| Dr Douglas L Powell, MD | |
|
50 N Medical Dr, Salt Lake City, UT 84132-1100 | |
| (801) 581-2955 | |
| Not Available |
| Full Name | Dr Douglas L Powell |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 33 Years |
| Location | 50 N Medical Dr, Salt Lake 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043316300 | NPI | - | NPPES |
| 806051301 | Medicaid | ID | |
| MD120UT | Medicaid | AK | |
| 870468377001 | Medicaid | UT | |
| 002082671 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 2764261205 (Utah) | Secondary |
| 207N00000X | Dermatology | 2764261205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Division University Of Utah Medical Center | 9638073497 | 69 |
| Entity Name | Dermatology Division University Of Utah Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922096114 PECOS PAC ID: 9638073497 Enrollment ID: O20031122000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas L Powell, MD Po Box 841052, Los Angeles, CA 90084-1052 Ph: (801) 587-6340 | Dr Douglas L Powell, MD 50 N Medical Dr, Salt Lake City, UT 84132-1100 Ph: (801) 581-2955 |
Caitlin Marie Bolender, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132 Phone: 801-581-5509 | |
Dr. Lana Ngoc Pho, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6340 Fax: 801-587-6346 | |
Justin F Thulin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1151 E 3900 S, Parkview Building B 259, Salt Lake City, UT 84124 Phone: 801-266-7325 Fax: 801-281-2263 | |
Bahman Sotoodian, MD, FRCP(C), FAAD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 440 W 200 S Ste 250, Salt Lake City, UT 84101 Phone: 801-595-1600 | |
Amber R. Jimenez, MD Dermatology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 4a330, Salt Lake City, UT 84132 Phone: 015-816-4658 | |
David A Wada, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr # E13, Salt Lake City, UT 84132 Phone: 801-581-2955 |