Dr Matthew Douglass, DO in Salt Lake City, UT

Dr Matthew Douglass, DO is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Salt Lake City, Utah. His current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (402) 559-6329.

Dr Matthew Douglass is licensed to practice in Utah (license number 10341688-1204) 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 1013322494.

Contact Information

	Dr Matthew Douglass, DO
	50 N Medical Dr, Salt Lake City, UT 84132-5524
	(402) 559-6329
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Matthew Douglass
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	50 N Medical Dr, 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: 1013322494
Provider Enumeration Date: 06/24/2014
Last Update Date: 10/20/2021

Medicare PECOS Information:

PECOS PAC ID: 0648491639
Enrollment ID: I20200409003319

Medical Identifiers

Medical identifiers for Dr Matthew Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013322494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	10341688-1204 (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 Matthew Douglass allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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 Matthew Douglass 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 Matthew Douglass, DO 295 S Chipeta Way, Salt Lake City, UT 84108-1287 Ph: () -	Dr Matthew Douglass, DO 50 N Medical Dr, Salt Lake City, UT 84132-5524 Ph: (402) 559-6329

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
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Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588
Michelle Ploutz, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 018-213-7778

Dr Matthew Douglass, DO - Medicare Pediatrics in Salt Lake City, UT