| Jessica Petrovich, MD | |
|
4745 S 3200 W, Taylorsville, UT 84129-2822 | |
| (801) 964-6214 | |
| (877) 497-4661 |
| Full Name | Jessica Petrovich |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 4745 S 3200 W, Taylorsville, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265865125 | NPI | - | NPPES |
| 74-2412898 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10964121-1205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Centers Inc | 5991698169 | 36 |
| Entity Name | Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952505117 PECOS PAC ID: 5991698169 Enrollment ID: O20040203000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Petrovich, MD 2621 S 3270 W, West Valley City, UT 84119-1119 Ph: (385) 261-2737 | Jessica Petrovich, MD 4745 S 3200 W, Taylorsville, UT 84129-2822 Ph: (801) 964-6214 |
Zorica Andrea Ljubic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 019-646-2148 Fax: 877-497-4661 | |
Dr. Luke Joshua Heitz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2000 | |
Chad Alan Spain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 Phone: 801-840-2100 | |
Dr. Lillian Elizabeth Hayes, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 801-964-6214 Fax: 877-497-4661 | |
Faryal Turtle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2000 Fax: 801-840-2179 | |
Krystal G Bramwell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 019-646-2148 Fax: 877-497-4661 |