| Jason C Hadley, MD | |
|
1560 Renaissance Towne Dr, Suite 210, Bountiful, UT 84010-7680 | |
| (801) 397-6100 | |
| (801) 397-6101 |
| Full Name | Jason C Hadley |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 19 Years |
| Location | 1560 Renaissance Towne Dr, Bountiful, 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 |
|---|---|---|---|
| 1619148129 | NPI | - | NPPES |
| 1619148129 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 6851419-1205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ogden Clinic Specialty Services Llc | 1658781422 | 118 |
| Entity Name | Ogden Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780 |
| Entity Name | Ogden Clinic Specialty Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason C Hadley, MD Po Box 5546, Denver, CO 80217-5546 Ph: (801) 397-6100 | Jason C Hadley, MD 1560 Renaissance Towne Dr, Suite 210, Bountiful, UT 84010-7680 Ph: (801) 397-6100 |
Dr. Jared Heaton, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 320 W 500 S Ste 210, Bountiful, UT 84010 Phone: 801-797-9121 Fax: 801-797-9182 | |
Dr. Tanya E. Christensen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-299-9050 Fax: 801-299-9051 | |
Dr. John E Robison, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-294-1000 Fax: 801-292-8369 | |
Michael L Hadley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1560 Renaissance Towne Dr, Ste 210, Bountiful, UT 84010 Phone: 801-397-6100 Fax: 801-397-6101 | |
Dr. Brooks Bahr, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 25 W. 500 S, Bountiful, UT 84010 Phone: 801-298-1514 Fax: 801-298-1841 |