Dr Adam Phillip Pendleton, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Holladay, Utah. His current practice location is
6550 S Millrock Dr Ste 125, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 821-2333.
Dr Adam Phillip Pendleton is licensed to practice in Utah (license number 10824745-1205) 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 1013350982.
Physician's Profile
Full Name | Dr Adam Phillip Pendleton |
---|
Gender | Male |
---|
Speciality | Psychiatry & Neurology - Psychiatry |
---|
Location | 6550 S Millrock Dr Ste 125, Holladay, Utah |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013350982
- Provider Enumeration Date: 04/10/2013
- Last Update Date: 11/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 8224330113
- Enrollment ID: I20181030000055
Medical Identifiers
Medical identifiers for Dr Adam Phillip Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013350982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 10824745-1205 (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. Dr Adam Phillip Pendleton allows following entities to bill medicare on his behalf.
Entity Name | Salt Lake Behavioral Health Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189 |
---|
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 Adam Phillip Pendleton 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 Adam Phillip Pendleton, MD 3300 N Triumph Blvd Ste 500, Lehi, UT 84043-6475 Ph: (801) 821-2781 | Dr Adam Phillip Pendleton, MD 6550 S Millrock Dr Ste 125, Holladay, UT 84121-5794 Ph: (801) 821-2333 |
Reviews and Comments