| Michael W Mangelson, MD | |
|
389 S 900 E, Salt Lake City, UT 84102 | |
| (385) 282-2000 | |
| (385) 282-2001 |
| Full Name | Michael W Mangelson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 389 S 900 E, Salt Lake City, 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 |
|---|---|---|---|
| 1114944790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 291501-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lds Hospital | Salt lake city, UT | Hospital |
| Intermountain Medical Center | Murray, UT | Hospital |
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Mangelson, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (385) 282-2000 | Michael W Mangelson, MD 389 S 900 E, Salt Lake City, UT 84102 Ph: (385) 282-2000 |
Dr. Stephen James Summers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891 | |
Benjamin James Mccormick, Urology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-213-2704 Fax: 801-585-2891 | |
Leah Stoehr, APRN Urology Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5555 | |
John Evan Thomas, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891 | |
Spencer Burton Tingey, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 30 N Mario Capecchi Drive, Salt Lake City, UT 84112 Phone: 801-581-7304 | |
Dr. Raymond Tyler Yong, MD Urology Medicare: Medicare Enrolled Practice Location: 30 North Mario Capecchi Drive Room 4s100, Salt Lake City, UT 84132 Phone: 414-955-0880 | |
Colton K. Leavitt, MD Urology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132 Phone: 801-213-2718 |