Brett Earl, MD is a medicare enrolled "General Practice" physician in Bountiful, Utah. His current practice location is
458 N 500 W, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 296-8060.
Brett Earl is licensed to practice in Utah (license number 5110301) 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 1568423564.
Physician's Profile
Full Name | Brett Earl |
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Gender | Male |
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Speciality | General Practice |
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Location | 458 N 500 W, Bountiful, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568423564
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 11/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 3375443484
- Enrollment ID: I20040113000445
Medical Identifiers
Medical identifiers for Brett Earl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568423564 | NPI | - | NPPES |
D4575 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 5110301-1205 (Utah) | Secondary |
207P00000X | Emergency Medicine | 5110301-1205 (Utah) | Secondary |
208D00000X | General Practice | 5110301 (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. Brett Earl allows following entities to bill medicare on his behalf.
Entity Name | Denali Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932878279 PECOS PAC ID: 8426431123 Enrollment ID: O20220812001673 |
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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. Brett Earl 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 |
Brett Earl, MD 458 N 500 W, Bountiful, UT 84010-6948 Ph: (801) 296-8060 | Brett Earl, MD 458 N 500 W, Bountiful, UT 84010-6948 Ph: (801) 296-8060 |
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