| Dr Rebekah Gensure, MD, PHD | |
| 755 E 3900 S, Salt Lake City, UT 84107-2176 | |
| (801) 266-2283 | |
| (801) 268-6151 | 
| Full Name | Dr Rebekah Gensure | 
|---|---|
| Gender | Female | 
| Speciality | Ophthalmology - Retina Specialist | 
| Location | 755 E 3900 S, Salt Lake City, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225490444 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207WX0107X | Ophthalmology - Retina Specialist | 10507952-1205 (Utah) | Primary | 
| Entity Name | Eye Institute Of Utah Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366515041 PECOS PAC ID: 3678556438 Enrollment ID: O20040825001284 | 
| Entity Name | Salt Lake Retina, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144622234 PECOS PAC ID: 0042430282 Enrollment ID: O20141009002404 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Rebekah Gensure, MD, PHD 755 E 3900 S, Salt Lake City, UT 84107-2176 Ph: (801) 266-2283 | Dr Rebekah Gensure, MD, PHD 755 E 3900 S, Salt Lake City, UT 84107-2176 Ph: (801) 266-2283 | 
| Douglas P Marx, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4400 S 700 E Ste 130, Salt Lake City, UT 84107 Phone: 801-264-4420 Fax: 801-266-0604 | |
| Dr. Eileen Hwang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 S Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-581-2352 | |
| Paul S. Bernstein, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2352 | |
| Dr. Francis John Wapner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1250 E 3900 S, #310, Salt Lake City, UT 84124 Phone: 801-263-2020 Fax: 801-263-2229 | |
| Dr. James G Howard, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107 Phone: 801-312-2020 Fax: 801-312-2022 | |
| Marielle Payne Young, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-581-2352 Fax: 801-662-3952 | |
| Madison C. Perchik, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 65 N Mario Capecchi, Salt Lake City, UT 84132 Phone: 801-581-2121 |