| Dr Justin W Mansfield, MD | |
|
4403 Harrison Blvd, Ste 3875, Ogden, UT 84403-3271 | |
| (801) 387-7950 | |
| (801) 387-7955 |
| Full Name | Dr Justin W Mansfield |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 4403 Harrison Blvd, Ogden, 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 |
|---|---|---|---|
| 1699707059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | V5692 (Texas) | Secondary |
| 207R00000X | Internal Medicine | 20468 (Nevada) | Secondary |
| 207R00000X | Internal Medicine | 47817351205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Physicians Choice Home Health Care Inc | Henderson, NV | Home health agency |
| Inspiration Home Health, Llc | Clearfield, UT | Home health agency |
| A Step Forward Hospice | West haven, UT | Hospice |
| Beacon Of Hope Hospice | Henderson, NV | Hospice |
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Davis Hospital And Medical Center | Layton, UT | Hospital |
| Ogden Regional Medical Center | Ogden, UT | Hospital |
| George E Wahlen Ogden Veterans Home | Ogden, UT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanner Memorial Clinic | 4284547985 | 231 |
| Amazing Medical Associates Inc | 5991606329 | 21 |
| Premier House Calls Llc | 9032498738 | 9 |
| Entity Name | Tanner Memorial Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
| Entity Name | Amazing Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487836532 PECOS PAC ID: 5991606329 Enrollment ID: O20040117000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin W Mansfield, MD Po Box 337, Layton, UT 84041-0337 Ph: (801) 773-4840 | Dr Justin W Mansfield, MD 4403 Harrison Blvd, Ste 3875, Ogden, UT 84403-3271 Ph: (801) 387-7950 |
Mikhail Shipotko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 | |
Ewa Gniado, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 | |
Jaclyn Nguyen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 | |
Dr. Timothy Trask, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-3654 | |
Gregory T Almony, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E, Suite #204, Ogden, UT 84405 Phone: 801-479-0194 Fax: 801-479-5642 | |
Brian W Pugh, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405 Phone: 801-475-5400 Fax: 801-475-8614 | |
Dr. John Nicholas Soter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 |