| Erica Maria Malagon-blackwell, | |
|
9450 S 1300 E, Sandy, UT 84094-5555 | |
| (801) 501-2160 | |
| (801) 501-2107 |
| Full Name | Erica Maria Malagon-blackwell |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 8 Years |
| Location | 9450 S 1300 E, Sandy, 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 |
|---|---|---|---|
| 1053703793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 12947998-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Medical Center | Murray, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3956 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Maria Malagon-blackwell, Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Erica Maria Malagon-blackwell, 9450 S 1300 E, Sandy, UT 84094-5555 Ph: (801) 501-2160 |
Kristi Maas, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way, Sandy, UT 84092 Phone: 801-878-8888 | |
Dr. John Lawrence Gililland Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way, Sandy, UT 84092 Phone: 801-878-8888 Fax: 801-878-8890 | |
Dr. Frank Jay Keefer, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3324 Seven Springs Dr, Sandy, UT 84092 Phone: 801-942-3510 | |
Russell A Smith, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, Suite 300, Sandy, UT 84094 Phone: 801-571-7777 Fax: 801-523-1848 | |
Alicia Tabish Jones, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, Suite 300, Sandy, UT 84094 Phone: 801-571-7777 Fax: 801-523-1848 | |
Kenneth S Larsen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9600 S 1300 E, #308, Sandy, UT 84094 Phone: 801-501-5590 |