Richard Blaine Iverson, DO in Ogden, UT

Richard Blaine Iverson, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Ogden, Utah. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2007 and has 18 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Professional Diagnostics and his current practice location is 4401 Harrison Blvd, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 387-2800.

Richard Blaine Iverson is licensed to practice in Utah (license number 8199146-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568788602.

Contact Information

	Richard Blaine Iverson, DO
	4401 Harrison Blvd, Ogden, UT 84403-3195
	(801) 387-2800
	Not Available

Map and Direction

Physician's Profile

Full Name	Richard Blaine Iverson
Gender	Male
Speciality	Pathology
Experience	18 Years
Location	4401 Harrison Blvd, Ogden, 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.

Medical Education and Training:

Richard Blaine Iverson attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2007

NPI Data:

NPI Number: 1568788602
Provider Enumeration Date: 04/14/2010
Last Update Date: 11/17/2025

Medicare PECOS Information:

PECOS PAC ID: 7113175209
Enrollment ID: I20120914000211

Medical Identifiers

Medical identifiers for Richard Blaine Iverson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568788602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	8199146-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jordan Valley Medical Center	West jordan, UT	Hospital
Salt Lake Regional Medical Center	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Professional Diagnostics	0648202820	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Richard Blaine Iverson allows following entities to bill medicare on his behalf.

Entity Name	Professional Diagnostics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184670606 PECOS PAC ID: 0648202820 Enrollment ID: O20050908000704

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Blaine Iverson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Richard Blaine Iverson, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Richard Blaine Iverson, DO 4401 Harrison Blvd, Ogden, UT 84403-3195 Ph: (801) 387-2800

Reviews and Comments

Pathology Doctors in Ogden, UT

Skylar Alsop, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 717-919-8393
Norman O Wahlstrom Jr., MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5475 South 500 East, Ogden, UT 84405 Phone: 801-479-2392 Fax: 801-479-2396
Mark Douglas Orton, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2392 Fax: 801-479-2396
Dr. Riley E Alexander, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800
Dr. Jan E Woods, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2390 Fax: 801-479-2396
Dr. Paul S Thorpe, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800

Richard Blaine Iverson, DO - Medicare Pathology in Ogden, UT