| Dr Imad Jaafar, MD | |
|
1055 N 500 W Ste 100, Provo, UT 84604-3305 | |
| (801) 354-8225 | |
| (801) 418-0941 |
| Full Name | Dr Imad Jaafar |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 12 Years |
| Location | 1055 N 500 W Ste 100, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821418120 | NPI | - | NPPES |
| 0390261 | Medicaid | OH |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Magic Valley Rmc | Twin falls, ID | Hospital |
| Intermountain Health Spanish Fork Hospital | Spanish fork, UT | Hospital |
| Intermountain Health Utah Valley Hospital | Provo, UT | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Revere Health Pc | 7517868508 | 407 |
| St Lukes Clinic Llc | 1052217478 | 313 |
| Entity Name | Revere Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Imad Jaafar, MD 1055 N 500 W, Provo, UT 84604-3305 Ph: (801) 354-8225 | Dr Imad Jaafar, MD 1055 N 500 W Ste 100, Provo, UT 84604-3305 Ph: (801) 354-8225 |
James Tynan Daly, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7291 |
Daniel N. Bennett, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd, Provo, UT 84604 Phone: 801-357-4600 |
Pace Romney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 210, Provo, UT 84604 Phone: 801-357-0280 |
Dr. Christopher Ryan Lew, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558 |
Albert Rivero, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310 |
Dr. Cedric W. Spak, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 202, Provo, UT 84604 Phone: 801-357-1772 |
Dr. Wenshu Yu, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604 Phone: 801-818-1940 Fax: 801-818-1945 |