| Jason A Bennett, MD | |
|
15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100 | |
| (801) 581-2121 | |
| Not Available |
| Full Name | Jason A Bennett |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 15 N Medical Dr Ste 1100, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386755809 | NPI | - | NPPES |
| 1017445660001 | Medicaid | PA | |
| 156840 | Other | PA | GATEWAY |
| 03223248 | Medicaid | MS | |
| 114105000 | Medicaid | FL | |
| 7905789 | Other | CIGNA | |
| 2304313 | Medicaid | LA | |
| 000000493642 | Other | ANTHEM | |
| 1904630 | Other | PA | HIGHMARK |
| 1393196 | Other | AETNA HMOS | |
| 2698906 | Medicaid | OH | |
| 77644605 | Other | AETNA PPOS |
| Entity Name | Clearwater Pathology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629138250 PECOS PAC ID: 9931131513 Enrollment ID: O20050902000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason A Bennett, MD 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100 Ph: (801) 581-2121 | Jason A Bennett, MD 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100 Ph: (801) 581-2121 |
Yahya Daneshbod, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Robert E. Rogers, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Melissa Hankins Cessna, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8th Avenue & C Street, Salt Lake City, UT 84143 Phone: 801-408-1784 Fax: 801-408-5196 | |
Kajsa Elizabeth Affolter, Pathology Medicare: Accepting Medicare Assignments Practice Location: University Of Utah Hospital, 50 North Medical Drive, Salt Lake City, UT 84132 Phone: 801-581-2507 | |
John M. Daines, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112 Phone: 801-581-4390 | |
David R. Anderson, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Peter E. Jensen, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2507 |