| Jan Barry Goossens, MD | |
|
1400 N 500 E, Logan, UT 84341-2455 | |
| (435) 716-1000 | |
| Not Available |
| Full Name | Jan Barry Goossens |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 42 Years |
| Location | 1400 N 500 E, Logan, 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 |
|---|---|---|---|
| 1881678399 | NPI | - | NPPES |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| 110225752 | Other | NY | RR MEDICARE PIN |
| GU040042 | Other | PA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10886108-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Medical Center | Murray, UT | Hospital |
| Lds Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| 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 |
|---|---|
| Jan Barry Goossens, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 716-1000 | Jan Barry Goossens, MD 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-1000 |
Rudolf Otrusinik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 N 500 E, Suite 320, Logan, UT 84341 Phone: 435-755-8200 Fax: 435-752-6094 | |
Harold Vonk, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1980 | |
Robert M Nash, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1980 | |
Agnieszka M Szpunar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1980 | |
Dr. Stephen J Ferney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-752-1693 Fax: 435-792-1692 | |
Dr. Stephen Christensen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 W 1250 North Suite 8a, Logan, UT 84341 Phone: 385-244-4020 Fax: 385-244-4022 | |
Tyler Pew, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1980 |