| Trae Mendenhall, | |
|
237 26th St, Ogden, UT 84401-3105 | |
| (801) 625-3700 | |
| Not Available |
| Full Name | Trae Mendenhall |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 5 Years |
| Location | 237 26th St, 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 |
|---|---|---|---|
| 1275306284 | NPI | - | NPPES |
| 000055266 | Other | UT | MEDICARE PIN |
| 8760003008007 | Medicaid | UT | |
| 260022408 | Other | UT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Weber Human Services | 3274430244 | 34 |
| Entity Name | Weber Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043243140 PECOS PAC ID: 3274430244 Enrollment ID: O20031217000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Trae Mendenhall, 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3700 | Trae Mendenhall, 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3700 |
Dr. Jamie E Brass, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3903 Harrison Blvd Ste 300, Ogden, UT 84403 Phone: 801-387-5600 | |
Dr. Ricky D. Hawks, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5677 S 1475 E, Suite 4a, Ogden, UT 84403 Phone: 801-621-6032 Fax: 801-409-0905 | |
Tayler M Wayment, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3903 Harrison Blvd Ste 300, Ogden, UT 84403 Phone: 801-387-5600 | |
Hilary Jane Jensen, Psychologist Medicare: Medicare Enrolled Practice Location: 4387 Harrison Blvd Ste C4, Ogden, UT 84403 Phone: 801-387-4970 | |
Gary L Devries, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5030 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-5620 Fax: 801-475-1621 | |
Dr. Brian Dion Petrovich, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1186 E 4600 S, Ogden, UT 84403 Phone: 801-505-6545 |