| Karen Anne Dittrich, MD | |
|
5444 S. Green St., Murray, UT 84123-5632 | |
| (801) 262-8120 | |
| (801) 262-3897 |
| Full Name | Karen Anne Dittrich |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 5444 S. Green St., Murray, 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 |
|---|---|---|---|
| 1003814013 | NPI | - | NPPES |
| 1003814013 | Other | UT | REGENCE BCBSUT |
| 107005898106 | Other | UT | SELECTHEALTH |
| 311802 | Other | UT | DESERET MUTUAL BENEFITS ADMINISTRATORS |
| P00616149 | Other | UT | RAILROAD MEDICARE |
| D0076 | Medicaid | UT | |
| P00041680 | Other | UT | RAILROAD MEDICARE |
| 120442400 | Medicaid | WY | |
| 807039500 | Medicaid | ID | |
| 107005898103 | Other | UT | SELECTHEALTH |
| 1003814013 | Other | UT | UUHP |
| 103721 | Other | UT | PEHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 185077-1205 (Utah) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | M-11469 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Medical Center | Roanoke, VA | Hospital |
| Carilion Tazewell Community Hospital | Tazewell, VA | Hospital |
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Tazewell Community Hospital | 4183604259 | 64 |
| Carilion Medical Center | 9830096585 | 914 |
| Entity Name | Direct Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144572173 PECOS PAC ID: 9436396165 Enrollment ID: O20131216000313 |
| Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20190501003286 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20241114004556 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20241115003743 |
| Entity Name | Carilion Tazewell Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427040328 PECOS PAC ID: 4183604259 Enrollment ID: O20241121002702 |
| Entity Name | Carilion Rockbridge Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20241223002017 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Anne Dittrich, MD 5444 S. Green St., Murray, UT 84123-5632 Ph: (801) 262-8120 | Karen Anne Dittrich, MD 5444 S. Green St., Murray, UT 84123-5632 Ph: (801) 262-8120 |
Dr. Jonathan Scott Shakespear, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 S. Green St., Murray, UT 84123 Phone: 801-262-8120 Fax: 801-262-3897 | |
Dr. Steven T Hunt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 Green St, Murray, UT 84123 Phone: 801-262-8120 Fax: 801-262-3572 | |
Dr. Cheryl Lynn Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 Green St, Murray, UT 84123 Phone: 801-262-2647 Fax: 801-262-3897 | |
Dr. Ivan Petrovitch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 | |
Brian Matthew Sheehan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5323 S Woodrow St Ste 101, Murray, UT 84107 Phone: 801-313-7500 | |
Dr. Wendell C Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5444 S. Green St., Murray, UT 84123 Phone: 801-262-2647 Fax: 801-262-3897 |