| Kelly J Myers, MD | |
|
5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 | |
| (801) 507-5248 | |
| (801) 733-5618 |
| Full Name | Kelly J Myers |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 32 Years |
| Location | 5121 S Cottonwood Street, Murray, 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 |
|---|---|---|---|
| 1881706752 | NPI | - | NPPES |
| 2090168 | Other | UT | UNITED HEALTHCARE |
| 8597445 | Other | UT | WORKERS COMP |
| 310745 | Other | UT | DESERET MUTUAL |
| 44543 | Other | UT | PEHP |
| 7662 | Other | UT | HEALTHY U |
| 805588700 | Medicaid | ID | |
| QM0000075886 | Other | UT | ALTIUS |
| 115800700 | Medicaid | WY | |
| 1502954 | Other | UT | UMWA |
| 870545614MY1 | Other | UT | EDUCATORS MUTUAL |
| PR01114 | Other | UT | MOLINA |
| 833386 | Medicaid | AZ | |
| 002089140 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 94-276194-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Medical Center | Murray, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Anesthesia Llc | 9032018502 | 256 |
| 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 |
|---|---|
| Kelly J Myers, MD 3340 North Center St, #800, Lehi, UT 84043-7406 Ph: (801) 990-1911 | Kelly J Myers, MD 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Ph: (801) 507-5248 |
Kendell Ryan Klingler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 778 E Briarmeadow Ave, Murray, UT 84107 Phone: 208-390-7555 | |
Ethan K Fisher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-733-5618 | |
Jason Hafer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-455-8221 | |
Dr. Jayaprakash Moodalagiriappa, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-432-2668 | |
Dr. Daniel Larsen Jacobs, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5801 S Fashion Blvd Ste 195, Murray, UT 84107 Phone: 801-829-7246 Fax: 801-655-9615 | |
Dr. Michael Marshall Beck, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675 | |
Mr. Joshua C Peterson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675 |