Dr Irene Isaza Bevan, DMD - Medicare Dentist in South Jordan, UT

Dr Irene Isaza Bevan, DMD is a medicare enrolled "Dentist - General Practice" provider in South Jordan, Utah. Her current practice location is 3785 W 10400 S, South Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 253-2249.

Dr Irene Isaza Bevan is licensed to practice in Utah (license number 11324979-9922) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205497096.

Contact Information

Dr Irene Isaza Bevan, DMD
3785 W 10400 S,
South Jordan, UT 84095
(801) 253-2249
Not Available



Healthcare Provider's Profile

Full NameDr Irene Isaza Bevan
GenderFemale
SpecialityDentist - General Practice
Location3785 W 10400 S, South Jordan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205497096
  • Provider Enumeration Date: 06/24/2019
  • Last Update Date: 06/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375871130
  • Enrollment ID: I20190819001654

Medical Identifiers

Medical identifiers for Dr Irene Isaza Bevan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205497096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 11324979-9922 (Utah)Primary

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. Dr Irene Isaza Bevan 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
Dr Irene Isaza Bevan, DMD
2212 E Oak Leaf Way,
Sandy, UT 84092-5688

Ph: (321) 948-8374
Dr Irene Isaza Bevan, DMD
3785 W 10400 S,
South Jordan, UT 84095

Ph: (801) 253-2249

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› Verified 8 days ago


Dentist in South Jordan, UT

Dr. Adam C Stanley, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3632 W South Jordan Pkwy Ste 103, South Jordan, UT 84009
Phone: 385-274-4848    
Dr. Timothy B. Elison, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3556 W 9800 S, Suite 103, South Jordan, UT 84095
Phone: 801-446-3549    Fax: 801-254-3656
Joby Chaluparambil, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11758 S District Dr, Unit 702, South Jordan, UT 84095
Phone: 409-939-9437    
John Shea Bess, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 3556 West 9800 South, Ste 102, South Jordan, UT 84095
Phone: 801-280-5558    Fax: 801-446-9818
Thayne Henrie Gardner, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1268 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095
Phone: 801-446-8007    Fax: 801-676-1030
Daniel Jed Snedaker, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 11535 S Jordan Bend Rd, South Jordan, UT 84095
Phone: 801-360-8868    
Dr. Hamid Massud Omana, DDS MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10393 S 1300 W, Suite 100, South Jordan, UT 84095
Phone: 801-359-4151    Fax: 801-446-5433

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