| Jean F Botha, MD | |
|
5171 S Cottonwood St Ste 210, Murray, UT 84107-5718 | |
| (801) 507-3380 | |
| (801) 507-8343 |
| Full Name | Jean F Botha |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 36 Years |
| Location | 5171 S Cottonwood St Ste 210, Murray, 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 |
|---|---|---|---|
| 1982661344 | NPI | - | NPPES |
| 47078557580 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 12742339-1205 (Utah) | Primary |
| 204F00000X | Transplant Surgery | 12742339-1205 (Utah) | Secondary |
| 204F00000X | Transplant Surgery | 22313 (Nebraska) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Medical Center | Murray, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3956 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean F Botha, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 507-3380 | Jean F Botha, MD 5171 S Cottonwood St Ste 210, Murray, UT 84107-5718 Ph: (801) 507-3380 |
Mark John Ott, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St, Suite 400, Murray, UT 84107 Phone: 801-507-3462 Fax: 801-507-3061 | |
Dr. Greg R. Goodman, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 | |
Dr. Steven W Merrell, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 S. Woodrow Street, #102, Murray, UT 84107 Phone: 801-713-1010 Fax: 801-713-0665 | |
Dr. Jane Alston, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 410, Murray, UT 84107 Phone: 801-507-1600 | |
Robert Dirk Noyes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5169 Cottonwood St, #440, Murray, UT 84107 Phone: 801-507-3915 Fax: 801-507-3916 | |
Clark J Rasmussen, MD Surgery Medicare: Medicare Enrolled Practice Location: 5169 Cottonwood St, Suite 410, Murray, UT 84107 Phone: 801-266-8850 | |
Anthony Wayne Bacon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5169 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 801-507-3460 |