Benjamin Reed Fogg, MD - Medicare Family Practice in Provo, UT

Benjamin Reed Fogg, MD is a medicare enrolled "Family Medicine" physician in Provo, Utah. He went to University Of Utah School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 475 W 940 N, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-7686.

Benjamin Reed Fogg is licensed to practice in Utah (license number 11336500-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104320902.

Contact Information

Benjamin Reed Fogg, MD
475 W 940 N,
Provo, UT 84604-3301
(801) 357-7686
Not Available

Map and Direction




Physician's Profile

Full NameBenjamin Reed Fogg
GenderMale
SpecialityFamily Practice
Experience6 Years
Location475 W 940 N, Provo, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Benjamin Reed Fogg attended and graduated from University Of Utah School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1104320902
  • Provider Enumeration Date: 03/19/2018
  • Last Update Date: 02/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315275013
  • Enrollment ID: I20190819003953

Medical Identifiers

Medical identifiers for Benjamin Reed Fogg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104320902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11336500-1205 (Utah)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Heber Valley HospitalHeber city, UTHospital
Park City HospitalPark city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

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. Benjamin Reed Fogg allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Benjamin Reed Fogg 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 AddressPractice Location Address
Benjamin Reed Fogg, MD
475 W 940 N,
Provo, UT 84604-3301

Ph: () -
Benjamin Reed Fogg, MD
475 W 940 N,
Provo, UT 84604-3301

Ph: (801) 357-7686

Reviews and Comments


Family Medicine Doctors in Provo, UT

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Mr. Tyler Jason Fieldsted, DO
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Practice Location: 475 W 940 N, Provo, UT 84604
Phone: 801-357-7926    Fax: 801-357-7927
Dr. Matthew Craig Evans, M.D.
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Practice Location: 1157 N 300 W, #201, Provo, UT 84604
Phone: 801-581-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.