| Dr Jerry E Handy, MD | |
|
5444 Green St, Murray, UT 84123-5632 | |
| (801) 262-2647 | |
| (801) 262-3897 |
| Full Name | Dr Jerry E Handy |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 5444 Green St, Murray, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629023718 | NPI | - | NPPES |
| 09054 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 177557-1205 (Utah) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | M-8396 (Idaho) | Secondary |
| 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 Jerry E Handy, MD 5444 Green St, Murray, UT 84123-5632 Ph: (801) 262-2647 | Dr Jerry E Handy, MD 5444 Green St, Murray, UT 84123-5632 Ph: (801) 262-2647 |
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. Steven T Hunt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 Green St, Murray, UT 84123 Phone: 801-262-8120 Fax: 801-262-3572 | |
Dr. Cheryl Lynn Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 Green St, Murray, UT 84123 Phone: 801-262-2647 Fax: 801-262-3897 | |
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: Medicare Enrolled Practice Location: 5323 S Woodrow St Ste 101, Murray, UT 84107 Phone: 801-313-7500 | |
Dr. Wendell C Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 S. Green St., Murray, UT 84123 Phone: 801-262-2647 Fax: 801-262-3897 |