| Jesse Hawkes, MD | |
|
454 E Medical Way, Heber City, UT 84032-1391 | |
| (435) 658-6738 | |
| Not Available |
| Full Name | Jesse Hawkes |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 14 Years |
| Location | 454 E Medical Way, Heber City, 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 |
|---|---|---|---|
| 1609219740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 9748938-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salt Lake Regional Medical Center | Salt lake city, UT | Hospital |
| Ogden Regional Medical Center | Ogden, UT | Hospital |
| Brigham City Community Hospital | Brigham city, UT | Hospital |
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Cache Valley Hospital | North logan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Integrated Care Llc | 4284548116 | 187 |
| 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 |
| Entity Name | Emergency Physicians Integrated Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Hawkes, MD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () - | Jesse Hawkes, MD 454 E Medical Way, Heber City, UT 84032-1391 Ph: (435) 658-6738 |
Andrew Aaron Nyberg, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1485 S Highway 40, Heber City, UT 84032 Phone: 435-654-2500 | |
Dania Shane Lees, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 454 E Medical Way, Heber City, UT 84032 Phone: 516-320-8983 |