Dr Daniel L Hibbert, MD is a medicare enrolled "Urology" physician in Tooele, Utah. His current practice location is
2376 N 400 E Ste 104, Tooele, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 882-0071.
Dr Daniel L Hibbert is licensed to practice in Utah (license number 7100427-1205) 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 1275647562.
Physician's Profile
Full Name | Dr Daniel L Hibbert |
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Gender | Male |
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Speciality | Urology |
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Location | 2376 N 400 E Ste 104, Tooele, 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: 1275647562
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 09/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 0345399614
- Enrollment ID: I20090515000021
Medical Identifiers
Medical identifiers for Dr Daniel L Hibbert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275647562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 7100427-1205 (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 Daniel L Hibbert allows following entities to bill medicare on his behalf.
Entity Name | Physician Group Of Utah Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
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Entity Name | Tooele Urology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457599912 PECOS PAC ID: 8426108192 Enrollment ID: O20090618000464 |
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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. Dr Daniel L Hibbert 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 Daniel L Hibbert, MD 11179 S Ivy Creek Cv, South Jordan, UT 84095-2249 Ph: (801) 822-2727 | Dr Daniel L Hibbert, MD 2376 N 400 E Ste 104, Tooele, UT 84074-3413 Ph: (435) 882-0071 |
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