| Dr Jonathan Harrison, MD | |
|
1034 N 500 W, Provo, UT 84604-3380 | |
| (801) 357-4423 | |
| Not Available |
| Full Name | Dr Jonathan Harrison |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 1034 N 500 W, Provo, 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 |
|---|---|---|---|
| 1326331133 | NPI | - | NPPES |
| 1326113311 | Medicaid | NV | |
| 72627 | Other | AZ | ARIZONA PERMIT BOARD |
| 17033 | Other | NV | NEVADA MEDICAL LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Utah Valley Hospital | Provo, UT | Hospital |
| American Fork Hospital | American fork, UT | Hospital |
| Park City Hospital | Park city, UT | Hospital |
| Heber Valley Hospital | Heber city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Valley Radiology Associates Inc | 1759286990 | 36 |
| Ihc Health Services Inc | 1850209420 | 3531 |
| 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 Valley Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265483598 PECOS PAC ID: 1759286990 Enrollment ID: O20031202000093 |
| Entity Name | Green River Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508533878 PECOS PAC ID: 5294123063 Enrollment ID: O20211027002062 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Harrison, MD 2020 Palomino Ln Ste 100, Las Vegas, NV 89106-4894 Ph: (702) 759-8600 | Dr Jonathan Harrison, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-4423 |
Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525 | |
Jacob Troy Gibby, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 3152 N University Ave Ste 100, Provo, UT 84604 Phone: 801-229-2002 | |
Samuel Lynn Southam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 801-357-7626 | |
Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699 | |
Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4423 Fax: 801-357-7626 | |
Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699 | |
Dr. Ralph Christopher Reed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 112, Provo, UT 84604 Phone: 801-812-4624 |