| Dr Wendy Lynne Leavitt, MD | |
|
1400 N 500 E, Logan, UT 84341-2455 | |
| (801) 230-8268 | |
| Not Available |
| Full Name | Dr Wendy Lynne Leavitt |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 12 Years |
| Location | 1400 N 500 E, Logan, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851730576 | NPI | - | NPPES |
| 10261491-1205 | Other | UT | UT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 10261491 (Utah) | Primary |
| 207L00000X | Anesthesiology | 19015 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Hospital | Logan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Interwest Anesthesia Associates Llc | 0042293359 | 27 |
| Entity Name | Interwest Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841214483 PECOS PAC ID: 0042293359 Enrollment ID: O20040609000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wendy Lynne Leavitt, MD 560 W 465 N Ste 604, Providence, UT 84332-8006 Ph: (435) 753-1600 | Dr Wendy Lynne Leavitt, MD 1400 N 500 E, Logan, UT 84341-2455 Ph: (801) 230-8268 |
Jon R Robison, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Peter C Daines, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Vikas Garg, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Lyman B Stevens, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Joshua Tyler Christiansen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 | |
Richard B Palfreyman, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Michael L Broadbent, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 |