| Dr Kris Naowamondhol, DO | |
|
30 N 1900 E, Room 3c444, Salt Lake City, UT 84132-2501 | |
| (801) 581-6393 | |
| Not Available |
| Full Name | Dr Kris Naowamondhol |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 9 Years |
| Location | 30 N 1900 E, Salt Lake City, 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 |
|---|---|---|---|
| 1508216995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 10514829-1204 (Utah) | Secondary |
| 207L00000X | Anesthesiology | 20A18839 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Andrew W Hesseltine Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184766685 PECOS PAC ID: 8224088091 Enrollment ID: O20050128000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kris Naowamondhol, DO 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (833) 574-2273 | Dr Kris Naowamondhol, DO 30 N 1900 E, Room 3c444, Salt Lake City, UT 84132-2501 Ph: (801) 581-6393 |
Dr. Anne Wierman Estares, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 4c104, Salt Lake City, UT 84132 Phone: 719-314-5254 | |
Dr. Nicole Jeffreys, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3578 | |
Matthew L Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618 | |
Dr. Jeffrey David Dillon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Room 3c444, Salt Lake City, UT 84132 Phone: 801-581-6393 Fax: 801-581-4367 | |
Jennifer Jean Davis, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6393 | |
Dennis L. Morris, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618 | |
Zachary R. Jergensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108 Phone: 801-581-6393 |