Mr Jeremy David Footer, LCSW in Salt Lake City, UT - Medicare Social Worker Provider

Mr Jeremy David Footer, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Salt Lake City, Utah. His current practice location is 5965 S 900 E, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 263-7138.

Mr Jeremy David Footer is licensed to practice in Utah (license number 9484273-3501) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740545672.

Contact Information

	Mr Jeremy David Footer, LCSW
	5965 S 900 E, Salt Lake City, UT 84121-1720
	(801) 263-7138
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeremy David Footer
Gender	Male
Speciality	Social Worker - Clinical
Location	5965 S 900 E, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740545672
Provider Enumeration Date: 07/06/2012
Last Update Date: 12/10/2021

Medicare PECOS Information:

PECOS PAC ID: 3678880283
Enrollment ID: I20150915001250

Medical Identifiers

Medical identifiers for Mr Jeremy David Footer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740545672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9484273-3501 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jeremy David Footer allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Pediatric Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309

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 Jeremy David Footer 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 Address	Practice Location Address
Mr Jeremy David Footer, LCSW 5965 S 900 E, Salt Lake City, UT 84121-1720 Ph: (801) 263-7138	Mr Jeremy David Footer, LCSW 5965 S 900 E, Salt Lake City, UT 84121-1720 Ph: (801) 263-7138

Reviews and Comments

Social Worker in Salt Lake City, UT

Mr. Glen Ray Lambert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1361 Rebecca Cir, Salt Lake City, UT 84117 Phone: 801-272-7742 Fax: 801-322-2831
Mr. Mark Lynn Duke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 South State, Suite 200, Salt Lake City, UT 84111 Phone: 801-240-3556
Kristine Louise Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Va Slc, 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Dr. Joel L Millard, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 E 700 S, Salt Lake City, UT 84111 Phone: 801-364-8080 Fax: 801-364-8098
Matthew Kael Nisson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100
Michael Keith Slade, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2872 S Highland Dr, Salt Lake City, UT 84106 Phone: 801-485-8051
Laura Marie Baumgart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1390 S 1100 E Ste 204, Salt Lake City, UT 84105 Phone: 734-306-1279

Mr Jeremy David Footer, LCSW - Medicare Clinical Social Worker in Salt Lake City, UT