Dr Jesse Dewey, DO is a
Dermatology physician based in Richfield, Utah. Dr Jesse Dewey is licensed to practice in Utah (license number 14207082-1204) and his current practice location is 861 N Main St, Richfield, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 558-7031.
NPI number for Dr Jesse Dewey is 1619554110 and his current mailing address is 861 N Main St, Richfield, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619554110.
Physician's Profile
| Full Name | Dr Jesse Dewey |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
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| Location | 861 N Main St, Richfield, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619554110
- Provider Enumeration Date: 03/29/2021
- Last Update Date: 03/18/2025
Medical Identifiers
Medical identifiers for Dr Jesse Dewey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619554110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 14207082-1204 (Utah) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 14207082-1204 (Utah) | Secondary |
| 207N00000X | Dermatology | 14207082-1204 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jesse Dewey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jesse Dewey, DO
861 N Main St,
Richfield, UT 84701-1840
Ph: (360) 739-4467 | Dr Jesse Dewey, DO
861 N Main St,
Richfield, UT 84701-1840
Ph: (435) 558-7031 |
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