| Dr Mark D Packer, MD | |
|
4403 Harrison Blvd Ste 2645, Ogden, UT 84403-3278 | |
| (801) 387-2880 | |
| Not Available |
| Full Name | Dr Mark D Packer |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 31 Years |
| Location | 4403 Harrison Blvd Ste 2645, 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 |
|---|---|---|---|
| 1760470686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0901X | Otolaryngology - Otology & Neurotology | 14245559-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Mercy Hospital South | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Ent Llc | 7517118813 | 12 |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
| Entity Name | Mercy Clinic Ent Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366705998 PECOS PAC ID: 7517118813 Enrollment ID: O20121114000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark D Packer, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Dr Mark D Packer, MD 4403 Harrison Blvd Ste 2645, Ogden, UT 84403-3278 Ph: (801) 387-2880 |
Dr. Robert Lionel Moesinger, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3955 Harrison Blvd, Ste U6, Ogden, UT 84403 Phone: 801-393-5324 Fax: 801-393-7780 | |
Dr. Michael Coleman Scheuller, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Ste 2645, Ogden, UT 84403 Phone: 801-387-2880 Fax: 801-387-2885 | |
John R Siddoway, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3075 Fax: 801-475-3076 | |
Dr. William I Owens Ii, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1100 Country Hills Dr, #200, Ogden, UT 84403 Phone: 801-399-5104 Fax: 801-399-0830 | |
Nadim B Bikhazi, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3075 Fax: 801-475-3076 | |
Dr. Ronald F Gordon, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3955 Harrison Blvd Ste U5, Ogden, UT 84403 Phone: 801-627-1363 Fax: 801-627-4744 | |
Luke W Edelmayer, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3075 Fax: 801-475-3076 |