Bruce K Fordham, LPC in Lehi, UT - Medicare Counselor Provider

Bruce K Fordham, LPC is a medicare enrolled "Counselor - Mental Health" provider in Lehi, Utah. His current practice location is 3051 W Maple Loop Dr Ste 210, Lehi, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 872-5516.

Bruce K Fordham is licensed to practice in Utah (license number 140784-6004) 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 1326267311.

Contact Information

	Bruce K Fordham, LPC
	3051 W Maple Loop Dr Ste 210, Lehi, UT 84043-4602
	(801) 872-5516
	(801) 872-5516

Map and Direction

Healthcare Provider's Profile

Full Name	Bruce K Fordham
Gender	Male
Speciality	Counselor - Mental Health
Location	3051 W Maple Loop Dr Ste 210, Lehi, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326267311
Provider Enumeration Date: 04/25/2007
Last Update Date: 04/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6204289374
Enrollment ID: I20240125002276

Medical Identifiers

Medical identifiers for Bruce K Fordham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326267311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	140784-6004 (Utah)	Primary
101YP2500X	Counselor - Professional	140784-6004 (Utah)	Secondary

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. Bruce K Fordham allows following entities to bill medicare on his behalf.

Entity Name	Valley Mental Health Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275599797 PECOS PAC ID: 0042121196 Enrollment ID: O20031111000937

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. Bruce K Fordham 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
Bruce K Fordham, LPC 5965 S 900 E Ste 100, Murray, UT 84121-1850 Ph: (801) 872-5516	Bruce K Fordham, LPC 3051 W Maple Loop Dr Ste 210, Lehi, UT 84043-4602 Ph: (801) 872-5516

Reviews and Comments

Counselor in Lehi, UT

Rosalie Dirado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 N 200 E Ste A, Lehi, UT 84043 Phone: 801-766-3933
Jeffrey Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4735 N Thanksgiving Way, Lehi, UT 84043 Phone: 801-885-9595
Whitney Evans, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3051 W Maple Loop Dr Ste 202, Lehi, UT 84043 Phone: 385-254-3522
James Leblow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4735 North Thanksgiving Way, Lehi, UT 84043 Phone: 013-106-8808
Norma Farris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3051 W Maple Loop Dr Ste 210, Lehi, UT 84043 Phone: 801-872-5516 Fax: 801-880-0069
Eden Clegg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4735 N Thanksgiving Way, Lehi, UT 84043 Phone: 801-310-6880
Jeffrey Yee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3051 W Maple Loop Dr Ste 300, Lehi, UT 84043 Phone: 385-336-4740

Bruce K Fordham, LPC - Medicare Counselor in Lehi, UT