| Dr John Emil Wennergren, MD | |
|
3000 N Triumph Blvd Ste 250, Lehi, UT 84043-7187 | |
| (801) 852-9480 | |
| (801) 852-9489 |
| Full Name | Dr John Emil Wennergren |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 3000 N Triumph Blvd Ste 250, Lehi, 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 |
|---|---|---|---|
| 1053545434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 9362974-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Utah Valley Hospital | Provo, UT | Hospital |
| American Fork Hospital | American fork, UT | Hospital |
| Jordan Valley Medical Center | West jordan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3956 |
| Utah Surgical Associates Inc | 4486686698 | 50 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Utah Surgical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851450720 PECOS PAC ID: 4486686698 Enrollment ID: O20050908000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Emil Wennergren, MD 3550 N University Ave Ste 250, Provo, UT 84604-6695 Ph: (801) 374-9625 | Dr John Emil Wennergren, MD 3000 N Triumph Blvd Ste 250, Lehi, UT 84043-7187 Ph: (801) 852-9480 |
Dr. Cara Marie Guilfoyle, MD Surgery Medicare: Medicare Enrolled Practice Location: 3000 N Triumph Blvd Ste 110, Lehi, UT 84043 Phone: 385-345-3555 | |
Dr. Joshua Lewis Jones, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd Ste 250, Lehi, UT 84043 Phone: 801-852-9480 Fax: 801-852-9489 | |
Dr. Broc A Durrant, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd Ste 110, Lehi, UT 84043 Phone: 385-345-3555 Fax: 385-345-3554 | |
Dr. Michael Dean Marion, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 310 N 850 E Ste A, Lehi, UT 84043 Phone: 801-331-8554 Fax: 801-341-8009 |