Zachary R Jergensen, MD - Medicare Anesthesiology in Salt Lake City, UT

Zachary R Jergensen, MD is a medicare enrolled "Anesthesiology" physician in Salt Lake City, Utah. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice North Canyon Medical Center Inc and his current practice location is 615 S Arapeen Dr Ste 100, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-6393.

Zachary R Jergensen is licensed to practice in Utah (license number 12751738-1205) 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 1023502093.

Contact Information

Zachary R Jergensen, MD
615 S Arapeen Dr Ste 100,
Salt Lake City, UT 84108-1239
(801) 581-6393
Not Available

Map and Direction




Physician's Profile

Full NameZachary R Jergensen
GenderMale
SpecialityAnesthesiology
Experience6 Years
Location615 S Arapeen Dr Ste 100, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Zachary R Jergensen graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1023502093
  • Provider Enumeration Date: 06/21/2018
  • Last Update Date: 08/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082945951
  • Enrollment ID: I20220803002566

Medical Identifiers

Medical identifiers for Zachary R Jergensen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023502093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 2018020285 (Missouri)Secondary
207L00000XAnesthesiology 2020029411 (Missouri)Secondary
207LP2900XAnesthesiology - Pain Medicine 12751738-1205 (Utah)Secondary
207L00000XAnesthesiology 12751738-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Canyon Medical CenterGooding, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Canyon Medical Center Inc094137143945

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. Zachary R Jergensen allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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. Zachary R Jergensen 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 AddressPractice Location Address
Zachary R Jergensen, MD
615 S Arapeen Dr Ste 100,
Salt Lake City, UT 84108-1239

Ph: (801) 581-6393
Zachary R Jergensen, MD
615 S Arapeen Dr Ste 100,
Salt Lake City, UT 84108-1239

Ph: (801) 581-6393

Reviews and Comments


Anesthesiology Doctors in Salt Lake City, UT

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Phone: 801-993-9530    Fax: 801-733-5618

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.