Dr Mark Steven Gottlieb, DO in Sandy, UT - Medicare Family Practice

Dr Mark Steven Gottlieb, DO is a medicare enrolled "Family Medicine" physician in Sandy, Utah. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Jordan Ridge Family Medicine Llc and his current practice location is 1403 E Sego Lily Dr # 100b, Sandy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 316-9620.

Dr Mark Steven Gottlieb is licensed to practice in Utah (license number 14197633-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174843643.

Contact Information

	Dr Mark Steven Gottlieb, DO
	1403 E Sego Lily Dr # 100b, Sandy, UT 84092-4350
	(801) 316-9620
	(801) 316-9626

Map and Direction

Physician's Profile

Full Name	Dr Mark Steven Gottlieb
Gender	Male
Speciality	Family Practice
Experience	35 Years
Location	1403 E Sego Lily Dr # 100b, Sandy, 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.

Medical Education and Training:

Dr Mark Steven Gottlieb attended and graduated from Philadelphia College Of Osteopathic Medicine in 1990

NPI Data:

NPI Number: 1174843643
Provider Enumeration Date: 06/08/2010
Last Update Date: 03/18/2025

Medicare PECOS Information:

PECOS PAC ID: 4880881598
Enrollment ID: I20250224003294

Medical Identifiers

Medical identifiers for Dr Mark Steven Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174843643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS007588L (Pennsylvania)	Secondary
207Q00000X	Family Medicine	DO2844 (Nevada)	Secondary
207Q00000X	Family Medicine	14197633-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alta View Hospital	Sandy, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jordan Ridge Family Medicine Llc	8820091473	14

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Steven Gottlieb allows following entities to bill medicare on his behalf.

Entity Name	Jordan Ridge Family Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770509754 PECOS PAC ID: 8820091473 Enrollment ID: O20060821000255

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Steven Gottlieb is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mark Steven Gottlieb, DO Po Box 35380, Las Vegas, NV 89133-5380 Ph: (801) 316-9620	Dr Mark Steven Gottlieb, DO 1403 E Sego Lily Dr # 100b, Sandy, UT 84092-4350 Ph: (801) 316-9620

Reviews and Comments

Family Medicine Doctors in Sandy, UT

June C. Steinvorth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9493 S 700 E, Sandy, UT 84070 Phone: 801-523-0462
James Steele Mcintyre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9844 S 1300 E Ste 100, Sandy, UT 84094 Phone: 801-965-3600
Kimberly Scott, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way, Sandy, UT 84092 Phone: 801-878-8888
Alan D Gorang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9720 S 1300 E, #230e, Sandy, UT 84094 Phone: 801-501-5610
Christopher Dean Galliosborn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Sandy, UT 84094 Phone: 801-576-0176
Dr. Ehsan Hadjbian, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 909 E 9400 S, Suite C, Sandy, UT 84094 Phone: 801-748-0580 Fax: 801-748-2274

Dr Mark Steven Gottlieb, DO - Medicare Family Practice in Sandy, UT