Dr Andrew Jared Pellatt, MD in Salt Lake City, UT

Dr Andrew Jared Pellatt, MD is a medicare enrolled "Internal Medicine" physician in Salt Lake City, Utah. His current practice location is 8th Ave C Street, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 634-4135.

Dr Andrew Jared Pellatt is licensed to practice in Texas (license number T5001) 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 1376031252.

Contact Information

	Dr Andrew Jared Pellatt, MD
	8th Ave C Street, Salt Lake City, UT 84143-4000
	(801) 634-4135
	(801) 408-4710

Map and Direction

Physician's Profile

Full Name	Dr Andrew Jared Pellatt
Gender	Male
Speciality	Internal Medicine
Location	8th Ave C Street, 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: 1376031252
Provider Enumeration Date: 04/26/2018
Last Update Date: 11/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0446501167
Enrollment ID: I20220910000204

Medical Identifiers

Medical identifiers for Dr Andrew Jared Pellatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376031252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	13694985-1205 (Utah)	Secondary
207R00000X	Internal Medicine	T5001 (Texas)	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 Andrew Jared Pellatt allows following entities to bill medicare on his behalf.

Entity Name	Physicians Referral Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953

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 Andrew Jared Pellatt 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 Andrew Jared Pellatt, MD Po Box 4439, Houston, TX 77210-4439 Ph: (713) 792-2991	Dr Andrew Jared Pellatt, MD 8th Ave C Street, Salt Lake City, UT 84143-4000 Ph: (801) 634-4135

Reviews and Comments

Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
Dr. Willard Dere, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Megan Meier, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Siddharth K. Iyengar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Dr Andrew Jared Pellatt, MD - Medicare Internal Medicine in Salt Lake City, UT