| Travis Todd Mckenzie, DO | |
|
4401 Harrison Blvd, Ogden, UT 84403 | |
| (801) 387-2800 | |
| Not Available |
| Full Name | Travis Todd Mckenzie |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386900595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 10246349-1204 (Utah) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 10246349-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Mckay-dee Hospital | Ogden, UT | Hospital |
| Intermountain Health Intermountain Medical Center | Murray, UT | Hospital |
| Intermountain Health Lds Hospital | Salt lake city, UT | Hospital |
| Intermountain Health Riverton Hospital | Riverton, UT | Hospital |
| Intermountain Health Cedar City Hospital | Cedar city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tellica Imaging - Washington Llc | 0648757393 | 50 |
| Ihc Health Services Inc | 1850209420 | 3948 |
| Entity Name | Tellica Imaging - Washington LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346093150 PECOS PAC ID: 0648757393 Enrollment ID: O20260123001076 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Todd Mckenzie, DO 5444 S Green St, Murray, UT 84123-5632 Ph: (801) 313-4110 | Travis Todd Mckenzie, DO 4401 Harrison Blvd, Ogden, UT 84403 Ph: (801) 387-2800 |
Gary Lynn Whipple, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7400 |
Dr. Barry M Birkin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2910 Washington Blvd, #310, Ogden, UT 84401 Phone: 801-621-6671 Fax: 801-627-6679 |
Jason N Lance, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3830 Fax: 801-475-3838 |
Dr. Shawn Dale Isaeff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 955 Chambers St Ste 200, Ogden, UT 84403 Phone: 801-252-6774 Fax: 801-515-0165 |
Alison Brandeis Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3903 Medical Dr Ste 100, Ogden, UT 84403 Phone: 801-387-8900 |
Chase Collingford Hansen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2570 Fax: 801-479-2581 |
Dr. Brandon J Fisher, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-475-4571 Fax: 801-475-6119 |