| Dr Derek Scott Anselmo, DPM | |
|
2376 N 400 E Ste 204, Tooele, UT 84074-3413 | |
| (610) 983-1000 | |
| Not Available |
| Full Name | Dr Derek Scott Anselmo |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 8 Years |
| Location | 2376 N 400 E Ste 204, Tooele, 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 |
|---|---|---|---|
| 1508386665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006858 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain West Medical Center | Tooele, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ryan K Anderson D P M P C | 7517999121 | 33 |
| Provider Name | Ryan K Anderson, D P M P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639200215 PECOS PAC ID: 7517999121 Enrollment ID: O20050903000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Scott Anselmo, DPM 2376 N 400 E Ste 204, Tooele, UT 84074-3413 Ph: () - | Dr Derek Scott Anselmo, DPM 2376 N 400 E Ste 204, Tooele, UT 84074-3413 Ph: (610) 983-1000 |
Dr. David George Mckenzie Ii, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E Ste 204, Tooele, UT 84074 Phone: 801-582-1565 | |
Tooele Foot & Ankle Clinic, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E, Ste 104, Tooele, UT 84074 Phone: 435-882-0711 Fax: 435-882-1778 | |
Kim A. Halladay, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E, Ste 104, Tooele, UT 84074 Phone: 435-882-0711 Fax: 435-882-1778 |