| Dr Elisabeth A Ferlic, MD | |
|
9720 S 1300 E, Suite E230, Sandy, UT 84094-3712 | |
| (801) 501-2950 | |
| (801) 501-2951 |
| Full Name | Dr Elisabeth A Ferlic |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 9720 S 1300 E, Sandy, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114185634 | NPI | - | NPPES |
| 470009 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 42235 (Arizona) | Secondary |
| 208800000X | Urology | 56312 (Minnesota) | Secondary |
| 208800000X | Urology | 9017811-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta View Hospital | Sandy, UT | Hospital |
| Riverton Hospital | Riverton, UT | Hospital |
| Intermountain Medical Center | Murray, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elisabeth A Ferlic, MD 9720 S 1300 E, Suite E230, Sandy, UT 84094-3712 Ph: (801) 501-2950 | Dr Elisabeth A Ferlic, MD 9720 S 1300 E, Suite E230, Sandy, UT 84094-3712 Ph: (801) 501-2950 |
Dr. Richard Francis Labasky, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, #303, Sandy, UT 84094 Phone: 801-501-5300 Fax: 801-501-5350 | |
Dr. Jay B Page, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E Ste 240, Sandy, UT 84094 Phone: 801-993-1800 | |
Dr. Stanley Corbin Clark, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9690 S 1300 E, 100, Sandy, UT 84094 Phone: 801-571-5121 Fax: 801-572-5358 |