Mr Russell Douglas Sorenson, MED in Richfield, UT - Medicare Clinical Psychologist Provider

Mr Russell Douglas Sorenson, MED is a medicare enrolled "Counselor - Mental Health" provider in Richfield, Utah. He graduated from healthcare school in 2020 and has 4 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Mountain Utah Family Medicine and his current practice location is 879 N Main St, Richfield, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 896-9561.

Mr Russell Douglas Sorenson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1215298559.

Contact Information

	Mr Russell Douglas Sorenson, MED
	879 N Main St, Richfield, UT 84701-1840
	(435) 896-9561
	(435) 896-9564

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Russell Douglas Sorenson
Gender	Male
Speciality	Clinical Psychologist
Experience	4 Years
Location	879 N Main St, Richfield, Utah
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Russell Douglas Sorenson graduated from medical school in 2020

NPI Data:

NPI Number: 1215298559
Provider Enumeration Date: 06/04/2012
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 1759790348
Enrollment ID: I20210512000304

Medical Identifiers

Medical identifiers for Mr Russell Douglas Sorenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215298559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain Utah Family Medicine	9830276112	8

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 Russell Douglas Sorenson allows following entities to bill medicare on his behalf.

Entity Name	Mountain Utah Family Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659402774 PECOS PAC ID: 9830276112 Enrollment ID: O20080410000646

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 Russell Douglas Sorenson 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 Russell Douglas Sorenson, MED 879 N Main St, Richfield, UT 84701-1840 Ph: (435) 896-9561	Mr Russell Douglas Sorenson, MED 879 N Main St, Richfield, UT 84701-1840 Ph: (435) 896-9561

Reviews and Comments

Counselor in Richfield, UT

Karen Dastrup, CASE MANAGER Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 S Main St, Richfield, UT 84701 Phone: 435-896-8236 Fax: 435-896-9584
Desra Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 S Main St, Richfield, UT 84701 Phone: 435-896-8236 Fax: 435-896-9584
Mrs. Sonja Brazell Mitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 S Main St, Richfield, UT 84701 Phone: 435-896-8236
Mr. Wayne Douglas Peterson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 N Main St, (rear), Richfield, UT 84701 Phone: 435-201-4481
Jean Marsee Macdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 S Main St, Richfield, UT 84701 Phone: 435-283-8400 Fax: 435-283-8401
Liberty E Shipp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 W Main Street, Richfield, UT 84701 Phone: 435-896-8236 Fax: 435-896-9584

Mr Russell Douglas Sorenson, MED - Medicare Counselor in Richfield, UT