Medicare Administrative Contractor (A/B MAC)
Noridian Administrative Services
5330 North 7th Street SE
Paragon Plaza, Suite C123
Phoenix, AZ 85014-2821
Tel: (602) 532-2507/2506
Fax: (602) 532-2501/2535
www.noridianmedicare.com
Mailing List Sign-up
www.noridianmedicare.com/provider/education/listb_eform.html
Contractor Medical Director
William Mangold, Jr., MD, JD
Noridian Administrative Services
5330 North 7th Street SE
Paragon Plaza, Suite C123
Phoenix, AZ 85014-2821
Tel: (602) 532-2507/2506
Fax: (602) 532-2501/2535
william.mangold@nordian.com
Other States Covered Under MAC Jurisdiction 3:
Arizona
Montana
North Dakota
South Dakota
Wyoming
State Oncology/Hematology Society
Society of Utah Medical Oncologists
Oncology CAC Representative(s)
Oncology CAC Representative
Wendy Breyer, MD
1152 East 200 North
American Fork, UT 84003
Tel: (801) 772-0698
Fax: (801) 772-0705
wbreyer@centralutahclinic.com
Oncology CAC Alternate
Jonathan Whisenant, MD
Utah Cancer Specialists
5121 S. Cottonwood St. A-2
PO Box 577000
Murray, UT 84157
Tel: (801) 263-3416
jwhisenant@utahcancer.com
Hematology CAC Representative(s)
Hematology CAC Representative
Nitin Chandramouli, MD
Utah Cancer Specialists
3838 S. 700 E., Suite 100
Salt Lake City, UT 84106
Tel: (801) 269-0231
nchandramouli@utahcancer.com
Hematology CAC Alternate
Patricia Legant, MD
164 East 5900 South A106
Salt Lake City, UT 84107
Tel: (801) 263-3003
Fax: (801) 263-3030
oncopat@aol.com
Gynecologic CAC Representative(s)
Gynecologic CAC Representative
None Listed
