| Jose Perez Tamayo, MD | |
|
380 N 200 W, Suite 209, Bountiful, UT 84010-7079 | |
| (801) 298-1300 | |
| (801) 296-6199 |
| Full Name | Jose Perez Tamayo |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 34 Years |
| Location | 380 N 200 W, 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 |
|---|---|---|---|
| 1093761264 | NPI | - | NPPES |
| 10937612601001 | Other | UT | BLUE CROSS AND BLUE SHIELD OF UTAH |
| 107072555101 | Other | UT | SELECTHEALTH |
| 1093761264 | Other | UT | UNIVERSITY OF UTAH HEALTH PLANS |
| 10937612600001 | Other | UT | BLUE CROSS AND BLUE SHIELD OF UTAH |
| 036092616 | Medicaid | IL | |
| P00681087 | Other | UT | RR MEDICARE |
| P00684779 | Other | UT | RR MEDICARE |
| 107072555102 | Other | UT | SELECTHEALTH |
| 1003172 | Other | UT | DESERET MUTUAL BENEFIT ADMINISTRATORS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 7197358-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ogden Regional Medical Center | Ogden, UT | Hospital |
| Lakeview Hospital | Bountiful, UT | Hospital |
| Brigham City Community Hospital | Brigham city, UT | Hospital |
| Cache Valley Hospital | North logan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Imaging Associates Inc | 1355394537 | 43 |
| Entity Name | Tanner Memorial Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
| Entity Name | Utah Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629076229 PECOS PAC ID: 1355394537 Enrollment ID: O20050228000845 |
| Entity Name | Wasatch Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679645139 PECOS PAC ID: 7012949522 Enrollment ID: O20050906000837 |
| Entity Name | Tooele Valley Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699004499 PECOS PAC ID: 2466624630 Enrollment ID: O20111012000146 |
| Entity Name | Oquirrh Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568734143 PECOS PAC ID: 4082875448 Enrollment ID: O20120411000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Perez Tamayo, MD 380 N 200 W, Suite 209, Bountiful, UT 84010-7079 Ph: (801) 298-1300 | Jose Perez Tamayo, MD 380 N 200 W, Suite 209, Bountiful, UT 84010-7079 Ph: (801) 298-1300 |
Richard Jack Pope, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-2200 Fax: 801-296-6199 | |
Richard N Hartvigsen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-2200 Fax: 801-296-6199 | |
Elnasif Mohamed Arrayeh, Radiology Medicare: Accepting Medicare Assignments Practice Location: 553 W 2600 S Ste 120, Bountiful, UT 84010 Phone: 203-596-9793 Fax: 203-574-0548 | |
Dr. Travis G. Snyder, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 380 N 200 W, Suie 209, Bountiful, UT 84010 Phone: 801-298-1300 Fax: 801-296-6199 | |
Dr. Robert Michael Bell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 380 N 200 W, Suite 209, Bountiful, UT 84010 Phone: 801-298-1300 Fax: 801-296-6199 | |
Dr. Ronald James Miller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 380 N 200 W, Suite 209, Bountiful, UT 84010 Phone: 801-298-1300 Fax: 801-296-6199 |