Jeremy Conetah, in Vernal, UT - Medicare Marriage & Family Therapist Provider

Jeremy Conetah, is a medicare enrolled "Marriage & Family Therapist" provider in Vernal, Utah. His current practice location is 1140 W 500 S Ste 9, Vernal, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 789-6300.

Jeremy Conetah is licensed to practice in * (Not Available) (license number ) 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 1174267215.

Contact Information

	Jeremy Conetah,
	1140 W 500 S Ste 9, Vernal, UT 84078-2912
	(435) 789-6300
	(435) 789-6357

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Conetah
Gender	Male
Speciality	Marriage & Family Therapist
Location	1140 W 500 S Ste 9, Vernal, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174267215
Provider Enumeration Date: 04/25/2022
Last Update Date: 04/23/2024

Medicare PECOS Information:

PECOS PAC ID: 3173069671
Enrollment ID: I20240719003580

Medical Identifiers

Medical identifiers for Jeremy Conetah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174267215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	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. Jeremy Conetah allows following entities to bill medicare on his behalf.

Entity Name	Uintah Basin Tri-county Mental Health And Substance Abuse Local Author
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891873121 PECOS PAC ID: 9133183072 Enrollment ID: O20041119000092

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. Jeremy Conetah 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
Jeremy Conetah, 5629 W 13100 S, Herriman, UT 84096-6921 Ph: (801) 349-9606	Jeremy Conetah, 1140 W 500 S Ste 9, Vernal, UT 84078-2912 Ph: (435) 789-6300

Reviews and Comments

Marriage & Family Therapist in Vernal, UT

Ashley Nadene Tuft, AM&FT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 185 N Vernal Ave Ste 1, Vernal, UT 84078 Phone: 435-789-1305
Charles L Crane, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 365 W 50 N Ste W8, Vernal, UT 84078 Phone: 435-790-2757
Danielle Schneider, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 335 W 50 N, Set E17, Vernal, UT 84078 Phone: 435-789-1305
Hailee Jo Rayas, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 185 N Vernal Ave Ste 1, Vernal, UT 84078 Phone: 435-789-1305 Fax: 435-781-0331
Cassandra Pickett, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1293 W Highway 40, Vernal, UT 84078 Phone: 801-450-5419

Jeremy Conetah, - Medicare Couples Therapy in Vernal, UT