Dr David Carlson Chaulk, MD in Salt Lake City, UT

Dr David Carlson Chaulk, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Salt Lake City, Utah. His current practice location is 295 S Chipeta Way, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 587-7400.

Dr David Carlson Chaulk is licensed to practice in Utah (license number 9433268-1205) 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 1932582939.

Contact Information

	Dr David Carlson Chaulk, MD
	295 S Chipeta Way, Salt Lake City, UT 84108-1287
	(801) 587-7400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr David Carlson Chaulk
Gender	Male
Speciality	Emergency Medicine - Pediatric Emergency Medicine
Location	295 S Chipeta Way, 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: 1932582939
Provider Enumeration Date: 07/08/2015
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 8426365248
Enrollment ID: I20150910003045

Medical Identifiers

Medical identifiers for Dr David Carlson Chaulk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932582939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	9433268-1205 (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 David Carlson Chaulk allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Emergency Medicine Department Of University Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275570665 PECOS PAC ID: 0840233540 Enrollment ID: O20050603000476

Entity Name	Pediatric Rapid Treatment Unit Department Of University Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972557593 PECOS PAC ID: 5991846313 Enrollment ID: O20100107000593

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

Entity Name	University Of Utah Pediatric Acuity Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869

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 David Carlson Chaulk 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 David Carlson Chaulk, MD 127 S. 500 E, Suite 600, Salt Lake City, UT 84102-1971 Ph: (801) 587-6336	Dr David Carlson Chaulk, MD 295 S Chipeta Way, Salt Lake City, UT 84108-1287 Ph: (801) 587-7400

Reviews and Comments

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Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Dr David Carlson Chaulk, MD - Medicare Emergency Medicine in Salt Lake City, UT