Jerry Antony Hadlock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Salem, Utah. His current practice location is
684 E 320 S, Salem, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 615-3292.
Jerry Antony Hadlock is licensed to practice in Utah (license number 7091442-8900) 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 1487904298.
Provider's Profile
| Full Name | Jerry Antony Hadlock |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 684 E 320 S, Salem, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jerry Antony Hadlock attended and graduated from in
NPI Data:
- NPI Number: 1487904298
- Provider Enumeration Date: 09/19/2012
- Last Update Date: 09/19/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jerry Antony Hadlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487904298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 7091442-8900 (Utah) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 7091442-4405 (Utah) | Secondary |
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. Jerry Antony Hadlock 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 |
|---|
Jerry Antony Hadlock, CRNA
684 E 320 S,
Salem, UT 84653-8532
Ph: (801) 615-3292 | Jerry Antony Hadlock, CRNA
684 E 320 S,
Salem, UT 84653-8532
Ph: (801) 615-3292 |
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