| Mr Andrew Wilson, DO | |
|
3741 W 12600 S, Riverton, UT 84065-7215 | |
| (801) 727-2056 | |
| (770) 701-6676 |
| Full Name | Mr Andrew Wilson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 8 Years |
| Location | 3741 W 12600 S, Riverton, 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 |
|---|---|---|---|
| 1215464268 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverton Hospital | Riverton, 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 |
|---|---|
| Mr Andrew Wilson, DO Po Box 3570, Salt Lake City, UT 84110-3570 Ph: (801) 727-2056 | Mr Andrew Wilson, DO 3741 W 12600 S, Riverton, UT 84065-7215 Ph: (801) 727-2056 |
Suzanne H Harrison, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 | |
Richard G Maxwell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 | |
Fae L Engstrom, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 | |
Darren C Jacobsen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 | |
Robert Philip Edwards, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 | |
Randall J Bready, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 |