Mr Rafael Alexander Ibarra, APC in Provo, UT - Medicare Counselor Provider

Mr Rafael Alexander Ibarra, APC is a medicare enrolled "Counselor - Mental Health" provider in Provo, Utah. His current practice location is 750 N Freedom Blvd Ste 300, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 373-4760.

Mr Rafael Alexander Ibarra is licensed to practice in Utah (license number 7894027-6004) 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 1134426059.

Contact Information

	Mr Rafael Alexander Ibarra, APC
	750 N Freedom Blvd Ste 300, Provo, UT 84601-1690
	(801) 373-4760
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Rafael Alexander Ibarra
Gender	Male
Speciality	Counselor - Mental Health
Location	750 N Freedom Blvd Ste 300, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134426059
Provider Enumeration Date: 02/14/2011
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5496107534
Enrollment ID: I20240115000208

Medical Identifiers

Medical identifiers for Mr Rafael Alexander Ibarra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134426059	NPI	-	NPPES
1356357115	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	7894027-6009 (Utah)	Secondary
101YM0800X	Counselor - Mental Health	7894027-6004 (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 Rafael Alexander Ibarra allows following entities to bill medicare on his behalf.

Entity Name	Wasatch Behavioral Health Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014

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 Rafael Alexander Ibarra 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 Rafael Alexander Ibarra, APC 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 Ph: (801) 373-4760	Mr Rafael Alexander Ibarra, APC 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 Ph: (801) 373-4760

Reviews and Comments

Counselor in Provo, UT

Susan Easton Black, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-7620 Fax: 801-422-0165
Daniel Howell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N 500 W, Provo, UT 84601 Phone: 801-375-4240 Fax: 801-375-4241
Vicki Goodman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N 500 W, Provo, UT 84601 Phone: 801-420-0465 Fax: 801-375-4241
Colbey Bentley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 N 1850 W, Provo, UT 84604 Phone: 801-375-4240 Fax: 801-375-4241
Maurhy Alfredo Meneses, Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 N 1375 W, Provo, UT 84604 Phone: 801-375-2523 Fax: 801-375-2523
David Skiles, CMHC Counselor Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 Fax: 801-373-0639
Scott D Owen, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3651 N 100 E Ste 100, Provo, UT 84604 Phone: 801-356-0014 Fax: 801-373-3655

Mr Rafael Alexander Ibarra, APC - Medicare Counselor in Provo, UT