Derrick Cripps Gale, MD is a medicare enrolled "Otolaryngology" physician in Riverton, Utah. He went to University Of Utah School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Intermountain Ear Nose And Throat Specialists Llc and his current practice location is
4063 W 12600 S, Riverton, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 328-2522.
Derrick Cripps Gale is licensed to practice in Utah (license number 11131583-1205) 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 1548695729.
Physician's Profile
| Full Name | Derrick Cripps Gale |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 11 Years |
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| Location | 4063 W 12600 S, Riverton, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Derrick Cripps Gale attended and graduated from University Of Utah School Of Medicine in 2013
NPI Data:
- NPI Number: 1548695729
- Provider Enumeration Date: 09/06/2013
- Last Update Date: 08/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 2365779725
- Enrollment ID: I20190807002429
Medical Identifiers
Medical identifiers for Derrick Cripps Gale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548695729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | R6005 (Texas) | Secondary |
| 207Y00000X | Otolaryngology | 2013019934 (Missouri) | Secondary |
| 207Y00000X | Otolaryngology | 11131583-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Intermountain Ear Nose And Throat Specialists Llc | 8022901610 | 21 |
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. Derrick Cripps Gale allows following entities to bill medicare on his behalf.
| Entity Name | Intermountain Ear Nose And Throat Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487764411
PECOS PAC ID: 8022901610
Enrollment ID: O20040206000267 |
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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. Derrick Cripps Gale 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 |
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Derrick Cripps Gale, MD
756 E 12200 S,
Draper, UT 84020-9724
Ph: (801) 328-2522 | Derrick Cripps Gale, MD
4063 W 12600 S,
Riverton, UT 84096-7302
Ph: (801) 328-2522 |
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