John R Wynn, MD in Orem, UT - Pediatrics

John R Wynn, MD is a Pediatrics physician based in Orem, Utah. John R Wynn is licensed to practice in Utah (license number 2746431205) and his current practice location is 171 N 400 W, C-12, Orem, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 224-4550.

NPI number for John R Wynn is 1255308102 and his current mailing address is 171 N 400 W, C-12, Orem, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255308102.

Contact Information

	John R Wynn, MD
	171 N 400 W, C-12, Orem, UT 84057-1909
	(801) 224-4550
	(801) 224-1057

Physician's Profile

Full Name	John R Wynn
Gender	Male
Speciality	Pediatrics
Location	171 N 400 W, Orem, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1255308102
Provider Enumeration Date: 02/28/2006
Last Update Date: 06/26/2019

Medical Identifiers

Medical identifiers for John R Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255308102	NPI	-	NPPES
DO483	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2746431205 (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. John R Wynn 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 Address	Practice Location Address
John R Wynn, MD 171 N 400 W, C-12, Orem, UT 84057-1909 Ph: (801) 224-4550	John R Wynn, MD 171 N 400 W, C-12, Orem, UT 84057-1909 Ph: (801) 224-4550

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Pediatrics Doctors in Orem, UT

Jonathen Bartholomew, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 171 N 400 W, C12, Orem, UT 84057 Phone: 801-224-4550 Fax: 801-224-1057
Ernest Andrew Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 716 W 800 N, Suite 300, Orem, UT 84057 Phone: 801-224-0421 Fax: 801-224-0821
Dr. Dale R Gerstmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 750 W 800 N, Orem, UT 84057 Phone: 801-714-6511 Fax: 801-714-6597
Dr. Dustin Edward Monroe, M.D., M.B.A. Pediatrics Medicare: Medicare Enrolled Practice Location: 750 W 800 N, Orem, UT 84057 Phone: 801-714-6350
Dr. Gregory Scott Wynn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 716 W 800 N Ste 300, Orem, UT 84057 Phone: 801-224-0421 Fax: 801-224-0821
Dr. Jeffrey Penman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 W 400 N, Orem, UT 84057 Phone: 801-714-3450

John R Wynn, MD - Pediatrics in Orem, UT