| John B Zimmerman, MD | |
|
1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | |
| (801) 507-5248 | |
| (801) 733-5618 |
| Full Name | John B Zimmerman |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1034 North 500 West, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033205513 | NPI | - | NPPES |
| 342904 | Other | UT | DESERET MUTUAL |
| 768020 | Medicaid | AZ | |
| 870545614ZI1 | Other | UT | EDUCATORS MUTUAL |
| 119997800 | Medicaid | WY | |
| 002086095 | Medicaid | NV | |
| 107007821101 | Other | UT | IHC |
| 806946400 | Medicaid | ID | |
| 2090168 | Other | UT | UNITED HEALTHCARE |
| 2614 | Other | UT | HEALTHY U |
| 54112 | Other | UT | PEHP |
| 1502954 | Other | UT | UMWA |
| PRA03755 | Other | UT | MOLINA |
| QM0000075886 | Other | UT | ALTIUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 93-269361-1205 (Utah) | Primary |
| Entity Name | Mountain West Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
| Mailing Address | Practice Location Address |
|---|---|
| John B Zimmerman, MD 3340 North Center St, 200, Lehi, UT 84043 Ph: (801) 990-1911 | John B Zimmerman, MD 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Ph: (801) 507-5248 |
Dr. Daniel Rey Faber, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 280 River Park Dr, #200, Provo, UT 84604 Phone: 801-223-4860 Fax: 801-371-8993 | |
David Groesbeck, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
Carl Thayne Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
Jeffrey David Poulsen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Mr. Matthew David Wagaman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 770-701-6675 | |
Mitchell D Albrecht, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84004 Phone: 801-993-9582 Fax: 801-733-5618 |