Dr Mark Theodore Endrizzi, DDS in Taylorsville, UT

Dr Mark Theodore Endrizzi, DDS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Taylorsville, Utah. His current practice location is 3105 W 5400 S, Taylorsville, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 969-6236.

Dr Mark Theodore Endrizzi is licensed to practice in Utah (license number 6671559-9921) 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 1790776920.

Contact Information

	Dr Mark Theodore Endrizzi, DDS
	3105 W 5400 S, Taylorsville, UT 84118-2200
	(801) 969-6236
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Theodore Endrizzi
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	3105 W 5400 S, Taylorsville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790776920
Provider Enumeration Date: 11/05/2005
Last Update Date: 12/31/2008

Medicare PECOS Information:

PECOS PAC ID: 5496074767
Enrollment ID: I20150507002389

Medical Identifiers

Medical identifiers for Dr Mark Theodore Endrizzi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790776920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D12090 (Minnesota)	Secondary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	6671559-9921 (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. Dr Mark Theodore Endrizzi allows following entities to bill medicare on his behalf.

Entity Name	Gundersen Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139

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. Dr Mark Theodore Endrizzi 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
Dr Mark Theodore Endrizzi, DDS 3105 W 5400 S, Taylorsville, UT 84118-2200 Ph: (801) 969-6236	Dr Mark Theodore Endrizzi, DDS 3105 W 5400 S, Taylorsville, UT 84118-2200 Ph: (801) 969-6236

Reviews and Comments

Dentist in Taylorsville, UT

Dr. David K Knowlton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4788 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-969-4264 Fax: 801-969-2781
Dr. Matthew Blake Hillstead, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3105 W 5400 S, Taylorsville, UT 84129 Phone: 801-969-6236 Fax: 801-966-4572
Dr. Benjamin Eugene Werner, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6151 S Redwood Rd Ste 200, Taylorsville, UT 84123 Phone: 801-441-2144
Dr. James Wylie Thomas, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2195 W 5400 S, Suite 203, Taylorsville, UT 84129 Phone: 801-969-6740
Stephen Eldredge, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5419 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-263-6400
Brian D Duncan, Dentist Medicare: Medicare Enrolled Practice Location: 6183 Prairie View Dr Ste 104, Taylorsville, UT 84118 Phone: 801-969-0881
Brian William Baird, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5547 S 4015 W, Suite #3, Taylorsville, UT 84118 Phone: 801-967-3337

Dr Mark Theodore Endrizzi, DDS - Medicare Dentist in Taylorsville, UT