Fred Jeston Dawson, MD in Provo, UT - Medicare Diagnostic Radiology

Fred Jeston Dawson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Provo, Utah. He went to Medical College Of Wisconsin and graduated in 2007 and has 17 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1055 N 500 W, Suite 112, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 812-4624.

Fred Jeston Dawson is licensed to practice in Utah (license number 9282119-1205) 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 1316106131.

Contact Information

	Fred Jeston Dawson, MD
	1055 N 500 W, Suite 112, Provo, UT 84604-3305
	(801) 812-4624
	(801) 812-4699

Map and Direction

Physician's Profile

Full Name	Fred Jeston Dawson
Gender	Male
Speciality	Diagnostic Radiology
Experience	17 Years
Location	1055 N 500 W, Provo, 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:

Fred Jeston Dawson attended and graduated from Medical College Of Wisconsin in 2007

NPI Data:

NPI Number: 1316106131
Provider Enumeration Date: 06/06/2008
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2365680519
Enrollment ID: I20150604000550

Medical Identifiers

Medical identifiers for Fred Jeston Dawson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316106131	NPI	-	NPPES
915540	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	11013885A (Indiana)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	41926 (Arizona)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	9282119-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Timpanogos Regional Hospital	Orem, UT	Hospital
Jordan Valley Medical Center	West jordan, UT	Hospital
Mountain View Hospital	Payson, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	391

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. Fred Jeston Dawson allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Fred Jeston Dawson 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
Fred Jeston Dawson, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Fred Jeston Dawson, MD 1055 N 500 W, Suite 112, Provo, UT 84604-3305 Ph: (801) 812-4624

Reviews and Comments

Radiology Doctors in Provo, UT

Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525
Samuel Lynn Southam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 801-357-7626
Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850
Dr. Derek Scott Bergeson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Phone: 801-354-8225 Fax: 801-418-0941
Dalton H Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
John S Collins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850

Fred Jeston Dawson, MD - Medicare Diagnostic Radiology in Provo, UT