Mr Douglas Hopper, LMFT in Centerville, UT - Medicare Marriage & Family Therapist Provider

Mr Douglas Hopper, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Centerville, Utah. His current practice location is 25 S Main St Ste 202, Centerville, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 663-6656.

Mr Douglas Hopper is licensed to practice in Utah (license number 8049997-3904) 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 1538404231.

Contact Information

	Mr Douglas Hopper, LMFT
	25 S Main St Ste 202, Centerville, UT 84014-1840
	(801) 663-6656
	(801) 298-2024

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Douglas Hopper
Gender	Male
Speciality	Marriage & Family Therapist
Location	25 S Main St Ste 202, Centerville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538404231
Provider Enumeration Date: 12/06/2012
Last Update Date: 01/13/2020

Medicare PECOS Information:

PECOS PAC ID: 4385081314
Enrollment ID: I20240326001450

Medical Identifiers

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

Identifier	Type	State	Issuer
1538404231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	8049997-3904 (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 Douglas Hopper allows following entities to bill medicare on his behalf.

Entity Name	Active Recovery, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104460666 PECOS PAC ID: 4082030416 Enrollment ID: O20200817002142

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 Douglas Hopper 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 Douglas Hopper, LMFT 500 Broadway Apt D104, Farmington, UT 84025-5630 Ph: (801) 425-1882	Mr Douglas Hopper, LMFT 25 S Main St Ste 202, Centerville, UT 84014-1840 Ph: (801) 663-6656

Reviews and Comments

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Mrs. Monica L. Gardner, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 952 S 800 E, Centerville, UT 84014 Phone: 801-299-1772
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Kevin Dee Broderick, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147
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Rachel Maldonado, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578
Mrs. Emalee Coon Banks, M.ED, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln, #a, Centerville, UT 84014 Phone: 801-294-0578

Mr Douglas Hopper, LMFT - Medicare Couples Therapy in Centerville, UT