Dr Jason Dayne Petersen, MD - Plastic Surgery in Salt Lake City, UT

Dr Jason Dayne Petersen, MD is a Plastic Surgery - Plastic Surgery Within The Head And Neck physician based in Salt Lake City, Utah. Dr Jason Dayne Petersen is licensed to practice in Utah (license number 83185641205) and his current practice location is 5353 S 960 E, #150, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 261-5791.

NPI number for Dr Jason Dayne Petersen is 1215105804 and his current mailing address is 5353 S 960 E, #150, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215105804.

Contact Information

Dr Jason Dayne Petersen, MD
5353 S 960 E, #150,
Salt Lake City, UT 84117-3569
(801) 261-5791
(801) 747-7740



Physician's Profile

Full NameDr Jason Dayne Petersen
GenderMale
SpecialityPlastic Surgery - Plastic Surgery Within The Head And Neck
Location5353 S 960 E, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215105804
  • Provider Enumeration Date: 02/15/2008
  • Last Update Date: 08/07/2012

Medical Identifiers

Medical identifiers for Dr Jason Dayne Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215105804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 83185641205 (Utah)Secondary
2082S0099XPlastic Surgery - Plastic Surgery Within The Head And Neck 83185641205 (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 Jason Dayne Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jason Dayne Petersen, MD
5353 S 960 E, #150,
Salt Lake City, UT 84117-3569

Ph: (801) 971-8684
Dr Jason Dayne Petersen, MD
5353 S 960 E, #150,
Salt Lake City, UT 84117-3569

Ph: (801) 261-5791

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› Verified 8 days ago


Plastic Surgery Doctors in Salt Lake City, UT

Dr. Grant Andreas Fairbanks, MD
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1151 East 3900 South, Suite #b110, Salt Lake City, UT 84124
Phone: 801-268-8838    Fax: 801-268-8264
Brittany M. Foley, MD
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 30 N Mario Capecchi Dr Rm, Salt Lake City, UT 84112
Phone: 801-581-2121    
Dr. David Snow Thomas, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 370 9th Ave, 200, Salt Lake City, UT 84103
Phone: 801-355-0731    Fax: 801-322-1099
Paul Winograd, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 30 N Mario Capecchi Dr Rm 4s100, 5th Floor, Salt Lake City, UT 84112
Phone: 801-581-2121    
Dr. Cori Ann Agarwal, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: Division Of Plastic Surgery Administrative Office, 30 North 1900 East 3b205, Salt Lake City, UT 84132
Phone: 801-585-6839    Fax: 801-581-5794
Robert Marcus Teixeira, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E # 3b400, Salt Lake City, UT 84132
Phone: 801-581-7719    Fax: 801-581-5794

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