Dr Adam Wahlstrom, DO in St George, UT

Dr Adam Wahlstrom, DO is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in St George, Utah. His current practice location is 1240 E 100 S, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 448-8619.

Dr Adam Wahlstrom is licensed to practice in Utah (license number 10389523-1204) 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 1881010023.

Contact Information

	Dr Adam Wahlstrom, DO
	1240 E 100 S, St George, UT 84790-3001
	(801) 448-8619
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Adam Wahlstrom
Gender	Male
Speciality	Pediatrics - Adolescent Medicine
Location	1240 E 100 S, St George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881010023
Provider Enumeration Date: 03/12/2014
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6305257205
Enrollment ID: I20201125001392

Medical Identifiers

Medical identifiers for Dr Adam Wahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881010023	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	10389523-1204 (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 Wahlstrom allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Dr Adam Wahlstrom 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 Wahlstrom, DO 1240 E 100 S, St George, UT 84790-3001 Ph: (801) 628-8232	Dr Adam Wahlstrom, DO 1240 E 100 S, St George, UT 84790-3001 Ph: (801) 448-8619

Reviews and Comments

Pediatrics Doctors in St George, UT

Austin Healy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 E 100 S Ste 14, St George, UT 84790 Phone: 435-628-8232 Fax: 435-674-7994
Dr. Howard W Sepp Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1739 W Sunset Blvd, St George, UT 84770 Phone: 435-634-6000 Fax: 435-634-6033
Dr. Rajiv J Kaddu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, Suite 3100, St George, UT 84790 Phone: 435-251-2740
Patrick Douglas Carroll, M.D., M.P.H. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 544 S 400 E, St George, UT 84770 Phone: 435-688-2000
Jamie Susanne Vane, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1240 E 100 S Ste 14, St George, UT 84790 Phone: 435-628-8232 Fax: 435-674-7994
Dr. Robert Erick Ridout, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-5200
Mr. James Robert Martin, MPAS Pediatrics Medicare: Medicare Enrolled Practice Location: 1490 E Foremaster Dr, Ste 150, St George, UT 84790 Phone: 435-628-9393 Fax: 435-628-9382

Dr Adam Wahlstrom, DO - Medicare Pediatrics in St George, UT