Dr D Brock Thorup, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Salt Lake Cty, Utah. His current practice location is
100 N Mario Capecchi Dr, Salt Lake Cty, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 662-4980.
Dr D Brock Thorup is licensed to practice in Utah (license number 10498714) 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 1881042117.
Physician's Profile
Full Name | Dr D Brock Thorup |
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Gender | Male |
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Speciality | Anesthesiology - Pediatric Anesthesiology |
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Location | 100 N Mario Capecchi Dr, Salt Lake Cty, 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: 1881042117
- Provider Enumeration Date: 05/26/2016
- Last Update Date: 11/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406122951
- Enrollment ID: I20200420003060
Medical Identifiers
Medical identifiers for Dr D Brock Thorup such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881042117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 104987141205 (Utah) | Secondary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 10498714 (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 D Brock Thorup allows following entities to bill medicare on his behalf.
Entity Name | Pediatric Anesthesiologists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417965799 PECOS PAC ID: 4385618578 Enrollment ID: O20040824000152 |
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Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
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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 D Brock Thorup 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 D Brock Thorup, MD Po Box 3870, Salt Lake City, UT 84110-3870 Ph: (801) 432-2600 | Dr D Brock Thorup, MD 100 N Mario Capecchi Dr, Salt Lake Cty, UT 84113-1103 Ph: (801) 662-4980 |
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