| Scott James Samuelson, MD | |
|
389 S 900 E, Ste 100, Salt Lake City, UT 84102-2310 | |
| (385) 282-2125 | |
| (385) 282-2126 |
| Full Name | Scott James Samuelson |
|---|---|
| Gender | Male |
| Speciality | Medical Oncology |
| Experience | 23 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 |
|---|---|---|---|
| 1922288588 | NPI | - | NPPES |
| 107065766102 | Other | UT | SELECT HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 5918534-1205 (Utah) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | 5918534-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Medical Center | Murray, UT | Hospital |
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Lds Hospital | Salt lake city, UT | Hospital |
| Alta View Hospital | Sandy, UT | Hospital |
| American Fork Hospital | American fork, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Cancer Specialists Pc | 1355254749 | 42 |
| 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 | Utah Cancer Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619925369 PECOS PAC ID: 1355254749 Enrollment ID: O20031111000618 |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott James Samuelson, MD 1121 E 3900 S, Ste C-240, Salt Lake City, UT 84124-1214 Ph: (801) 266-0878 | Scott James Samuelson, MD 389 S 900 E, Ste 100, Salt Lake City, UT 84102-2310 Ph: (385) 282-2125 |
Dr. Mehmet Akkaya, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689 | |
Dr. Willard Dere, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 | |
Megan Meier, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Siddharth K. Iyengar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 | |
Taryn A. Young, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398 | |
David C. Haak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580 | |
Kellen A. Sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606 |