Dr David Mortin Gontrum, MD in Salt Lake City, UT

Dr David Mortin Gontrum, MD is a medicare enrolled "Family Medicine" physician in Salt Lake City, Utah. He went to Oregon Health Sciences University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Health Centers Inc and his current practice location is 4745 S 3200 W, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 964-6214.

Dr David Mortin Gontrum is licensed to practice in Utah (license number 350320-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922084813.

Contact Information

	Dr David Mortin Gontrum, MD
	4745 S 3200 W, Salt Lake City, UT 84118-2822
	(801) 964-6214
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr David Mortin Gontrum
Gender	Male
Speciality	Family Practice
Experience	28 Years
Location	4745 S 3200 W, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr David Mortin Gontrum attended and graduated from Oregon Health Sciences University School Of Medicine in 1996

NPI Data:

NPI Number: 1922084813
Provider Enumeration Date: 12/21/2005
Last Update Date: 11/07/2011

Medicare PECOS Information:

PECOS PAC ID: 4082624804
Enrollment ID: I20091113000185

Medical Identifiers

Medical identifiers for Dr David Mortin Gontrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922084813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	350320-1205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Health Centers Inc	5991698169	35

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 Mortin Gontrum allows following entities to bill medicare on his behalf.

Entity Name	Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952505117 PECOS PAC ID: 5991698169 Enrollment ID: O20040203000767

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 Mortin Gontrum 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 Mortin Gontrum, MD 1082 Lake St, Salt Lake City, UT 84105-1261 Ph: (801) 537-1642	Dr David Mortin Gontrum, MD 4745 S 3200 W, Salt Lake City, UT 84118-2822 Ph: (801) 964-6214

Reviews and Comments

Family Medicine Doctors in Salt Lake City, UT

Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771
Ms. Shannon B. Mckim, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108 Phone: 801-581-2121

Dr David Mortin Gontrum, MD - Medicare Family Practice in Salt Lake City, UT