Brent Shepherd, MD in Salt Lake City, UT - Medicare Preventive Medicine

Brent Shepherd, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Salt Lake City, Utah. His current practice location is 391 S Chipeta Way Ste C, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-4800.

Brent Shepherd is licensed to practice in Utah (license number 10421634-1205) 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 1770946998.

Contact Information

	Brent Shepherd, MD
	391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294
	(801) 581-4800
	Not Available

Map and Direction

Physician's Profile

Full Name	Brent Shepherd
Gender	Male
Speciality	Preventive Medicine - Occupational Medicine
Location	391 S Chipeta Way Ste C, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770946998
Provider Enumeration Date: 04/04/2016
Last Update Date: 07/19/2019

Medicare PECOS Information:

PECOS PAC ID: 7012200058
Enrollment ID: I20200630001710

Medical Identifiers

Medical identifiers for Brent Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770946998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	10421634-1205 (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. Brent Shepherd allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Brent Shepherd 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
Brent Shepherd, MD 391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 Ph: (801) 581-4800	Brent Shepherd, MD 391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 Ph: (801) 581-4800

Reviews and Comments

Preventive Medicine Doctors in Salt Lake City, UT

Dr. Harriet W Hopf, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, U Of U Department Of Anesthesiology, Salt Lake City, UT 84158 Phone: 801-581-6393 Fax: 801-581-4367
Mrs. Alice Dowling, M.D., M.P.H. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3837 E Sunnydale Ln, Salt Lake City, UT 84108 Phone: 801-583-0544
Tran Nam Le, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 250 E 200 S Rm 1202, Salt Lake City, UT 84111 Phone: 801-581-3841
Dr. James R. Saullo, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 250 E 200 S Rm 1202, Salt Lake City, UT 84111 Phone: 801-581-3841
Dr. Mark Vernon Anderson, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2390 S Redwood Rd, Salt Lake City, UT 84119 Phone: 801-975-1600 Fax: 801-975-1666
Dr. Matthew Adams Hughes, M.D., M.P.H Preventive Medicine Medicare: Medicare Enrolled Practice Location: 391 Chipeta Way Ste C, Salt Lake City, UT 84108 Phone: 801-581-8719 Fax: 801-581-7224
Letitia P. Archuleta, M.D., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2390 S Redwood Rd, Salt Lake City, UT 84119 Phone: 801-975-1600 Fax: 801-975-1666

Brent Shepherd, MD - Medicare Preventive Medicine in Salt Lake City, UT