| Scott Allen Andelin, MD | |
|
4403 Harrison Blvd, Ste A-700, Ogden, UT 84403-3271 | |
| (801) 387-5300 | |
| Not Available |
| Full Name | Scott Allen Andelin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 4403 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013245000 | NPI | - | NPPES |
| 1013245000 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2012003966 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 2012003966 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 7730028-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Freeman Health System - Freeman West | Joplin, MO | Hospital |
| Mercy Hospital - Cassville | Cassville, MO | Hospital |
| Freeman Neosho Hospital | Neosho, MO | Hospital |
| Mercy Hospital Joplin | Joplin, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozark Tri-county Health Care Consortium | 8123918257 | 30 |
| Freeman-oak Hill Health System | 8325942253 | 341 |
| Mercy Hospital Cassville | 8820999139 | 6 |
| Entity Name | Mercy Hospital Cassville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285676932 PECOS PAC ID: 8820999139 Enrollment ID: O20040120000164 |
| Entity Name | Freeman-oak Hill Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570 |
| Entity Name | Ozark Tri-county Health Care Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265428791 PECOS PAC ID: 8123918257 Enrollment ID: O20040330001501 |
| Entity Name | Mercy Hospital Aurora |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467543090 PECOS PAC ID: 9436063211 Enrollment ID: O20040727000335 |
| Entity Name | Freeman Neosho Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083045686 PECOS PAC ID: 4284624552 Enrollment ID: O20040729000101 |
| Entity Name | Mercy Clinic Joplin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Allen Andelin, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 387-5300 | Scott Allen Andelin, MD 4403 Harrison Blvd, Ste A-700, Ogden, UT 84403-3271 Ph: (801) 387-5300 |
Rhett Orval Schlader, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 700a, Ogden, UT 84403 Phone: 208-507-1979 | |
John M Hemmersmeier, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795 | |
Kristine M Oates, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, Ste. A700, Ogden, UT 84403 Phone: 801-387-5300 Fax: 801-387-5335 | |
Benjamin Zachary Larsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 700a, Ogden, UT 84403 Phone: 801-387-5300 Fax: 801-387-5333 | |
Robert L Adams, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1355 Hinkley Dr, Ogden, UT 84401 Phone: 801-387-6050 | |
Mary Ellen Mason, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3010 Fax: 801-475-3001 |