Heather Anne Crouch, DDS in Slc, UT - Medicare Dentist Provider

Heather Anne Crouch, DDS is a medicare enrolled "Dentist" provider in Slc, Utah. Her current practice location is 1365 W 1000 N, Slc, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 328-5756.

Heather Anne Crouch is licensed to practice in Utah (license number 5607872-9922) 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 1063419125.

Contact Information

	Heather Anne Crouch, DDS
	1365 W 1000 N, Slc, UT 84116-1654
	(801) 328-5756
	(801) 521-7463

Healthcare Provider's Profile

Full Name	Heather Anne Crouch
Gender	Female
Speciality	Dentist
Location	1365 W 1000 N, Slc, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063419125
Provider Enumeration Date: 07/05/2005
Last Update Date: 06/16/2011

Medicare PECOS Information:

PECOS PAC ID: 0547244881
Enrollment ID: I20150813011363

Medical Identifiers

Medical identifiers for Heather Anne Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063419125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	5607872-9922 (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. Heather Anne Crouch 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
Heather Anne Crouch, DDS 1798 S West Temple, Slc, UT 84115-1874 Ph: (801) 412-6933	Heather Anne Crouch, DDS 1365 W 1000 N, Slc, UT 84116-1654 Ph: (801) 328-5756

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Dentist in Slc, UT

Dr. Russell Richard Parkin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4046 S Highland Dr Ste 113, Slc, UT 84124 Phone: 801-272-9003
Dr. John Engh Storheim Sr., Dentist Medicare: Not Enrolled in Medicare Practice Location: 1345 E 3900 S, Slc, UT 84124 Phone: 801-272-8284 Fax: 807-277-4387
Dr. Travis Alan Hickok, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-2220
Dr. Randy Sean Barnhisel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4970 S 900 E Ste G, Slc, UT 84117 Phone: 801-262-6811 Fax: 801-685-2936
Dr. Brett Michael Packham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Suite 3550, Slc, UT 84113 Phone: 801-662-3900
Adon Emery Crook, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 461 S 400 E, Slc, UT 84111 Phone: 801-539-8617 Fax: 801-537-7238

Heather Anne Crouch, DDS - Medicare Dentist in Slc, UT