| Mark E Moritz, DPM | |
|
1220 E 3900 S Ste 4d, Salt Lake City, UT 84124-1383 | |
| (801) 269-9939 | |
| (801) 269-9949 |
| Full Name | Mark E Moritz |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 31 Years |
| Location | 1220 E 3900 S Ste 4d, 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 |
|---|---|---|---|
| 1245297688 | NPI | - | NPPES |
| 91549704030 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 326708-8907 (Utah) | Secondary |
| 213E00000X | Podiatrist | 326708-0501 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park City Podiatry Llc | 9032017942 | 2 |
| Provider Name | Park City Podiatry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437116266 PECOS PAC ID: 9032017942 Enrollment ID: O20031229000982 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Moritz, DPM Po Box 404, Riverton, UT 84065-0404 Ph: (801) 269-9939 | Mark E Moritz, DPM 1220 E 3900 S Ste 4d, Salt Lake City, UT 84124-1383 Ph: (801) 269-9939 |
Podiatry Center Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 | |
Callie Lorraine Morlock, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 | |
Randy D. Rhodes, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 389 S 900 E, Salt Lake City, UT 84102 Phone: 385-282-2000 Fax: 385-282-2001 | |
Dr. Terry Paul Smith, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 82 S 1100 E, Suite 300, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Robert A Church, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 210, Salt Lake City, UT 84102 Phone: 801-505-5277 Fax: 801-505-5280 | |
Dr. Michael Karl Lowe, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 144 S 700 E, Salt Lake City, UT 84102 Phone: 801-532-1822 Fax: 801-532-7544 | |
Dr. Douglas Clark Flegal, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 740 E 3900 S, Suite 108, Salt Lake City, UT 84107 Phone: 801-266-3113 Fax: 801-266-5633 |