Mrs Jessica Lauren Madert Herzog, MD - Medicare General Practice in Lehi, UT

Mrs Jessica Lauren Madert Herzog, MD is a medicare enrolled "General Practice" physician in Lehi, Utah. Her current practice location is 3397 N 1200 E Ste 103, Lehi, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 797-0877.

Mrs Jessica Lauren Madert Herzog is licensed to practice in Utah (license number 8450572-1205) 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 1912035221.

Contact Information

Mrs Jessica Lauren Madert Herzog, MD
3397 N 1200 E Ste 103,
Lehi, UT 84043-3262
(801) 797-0877
(801) 290-8141



Physician's Profile

Full NameMrs Jessica Lauren Madert Herzog
GenderFemale
SpecialityGeneral Practice
Location3397 N 1200 E Ste 103, Lehi, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912035221
  • Provider Enumeration Date: 02/28/2007
  • Last Update Date: 02/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991867905
  • Enrollment ID: I20180523000117

Medical Identifiers

Medical identifiers for Mrs Jessica Lauren Madert Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912035221NPI-NPPES
420536OtherPAUPMC
2983938OtherPAHIGHMARK BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 8450572-1205 (Utah)Secondary
208000000XPediatrics MD449593 (Pennsylvania)Secondary
208D00000XGeneral Practice MD449593 (Pennsylvania)Secondary
208D00000XGeneral Practice 8450572-1205 (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. Mrs Jessica Lauren Madert Herzog 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
Mrs Jessica Lauren Madert Herzog, MD
3397 N 1200 E Ste 103,
Lehi, UT 84043-3262

Ph: (801) 797-0877
Mrs Jessica Lauren Madert Herzog, MD
3397 N 1200 E Ste 103,
Lehi, UT 84043-3262

Ph: (801) 797-0877

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› Verified 6 days ago


General Practice Doctors in Lehi, UT

Koraima Morel Tirado,
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1035 W 190 S, Lehi, UT 84043
Phone: 252-292-0037    
Richard B Sampson, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 127 E Main St, Suite E, Lehi, UT 84043
Phone: 801-766-9822    Fax: 801-766-9441

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