Mr Jerry William Hussong, DDS MD - Pathology in Salt Lake City, UT

Mr Jerry William Hussong, DDS MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Salt Lake City, Utah. Mr Jerry William Hussong is licensed to practice in Utah (license number 3403921205) and his current practice location is 500 S Chipeta Way, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 583-2787.

NPI number for Mr Jerry William Hussong is 1346201209 and his current mailing address is 500 S Chipeta Way, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346201209.

Contact Information

Mr Jerry William Hussong, DDS MD
500 S Chipeta Way,
Salt Lake City, UT 84108-1221
(801) 583-2787
(801) 584-5141



Physician's Profile

Full NameMr Jerry William Hussong
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location500 S Chipeta Way, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346201209
  • Provider Enumeration Date: 03/30/2006
  • Last Update Date: 10/29/2013

Medical Identifiers

Medical identifiers for Mr Jerry William Hussong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346201209NPI-NPPES
200225018MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZH0000XPathology - Hematology 9291 (Nevada)Secondary
207ZH0000XPathology - Hematology G86484 (California)Secondary
207ZH0000XPathology - Hematology 3403921205 (Utah)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 9291 (Nevada)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology G86484 (California)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 3403921205 (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. Mr Jerry William Hussong 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
Mr Jerry William Hussong, DDS MD
500 S Chipeta Way,
Salt Lake City, UT 84108-1221

Ph: (801) 583-2787
Mr Jerry William Hussong, DDS MD
500 S Chipeta Way,
Salt Lake City, UT 84108-1221

Ph: (801) 583-2787

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Pathology Doctors in Salt Lake City, UT

Dr. Bryce J. Parkinson, DO, MBA
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112
Phone: 801-581-2121    
Yahya Daneshbod, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112
Phone: 801-581-2121    
Robert E. Rogers, MD, PHD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112
Phone: 801-581-2121    
Dr. Melissa Hankins Cessna, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 8th Avenue & C Street, Salt Lake City, UT 84143
Phone: 801-408-1784    Fax: 801-408-5196
Kajsa Elizabeth Affolter,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: University Of Utah Hospital, 50 North Medical Drive, Salt Lake City, UT 84132
Phone: 801-581-2507    
David R. Anderson, DO
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112
Phone: 801-581-2121    
Peter E. Jensen, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-581-2507    

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