Dr Jesse Dewey, DO is a medicare enrolled "Dermatology" physician in Richfield, Utah. His current practice location is
861 N Main St, Richfield, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 558-7031.
Dr Jesse Dewey is licensed to practice in Utah (license number 14207082-1204) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619554110.
Physician's Profile
Full Name | Dr Jesse Dewey |
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Gender | Male |
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Speciality | Dermatology |
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Location | 861 N Main St, Richfield, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619554110
- Provider Enumeration Date: 03/29/2021
- Last Update Date: 03/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476077728
- Enrollment ID: I20250408001522
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
enrolled with medicare and thus, if eligible, can 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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