Dr Matthew Thomas Rondina, MD is a medicare enrolled "Hospitalist" physician in Slc, Utah. His current practice location is
Va Slc Hcs, 500 Foothill Drive, Slc, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 582-1565.
Dr Matthew Thomas Rondina is licensed to practice in Utah (license number 5617387-1205) 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 1538183991.
Physician's Profile
| Full Name | Dr Matthew Thomas Rondina |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | Va Slc Hcs, Slc, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538183991
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 11/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224135819
- Enrollment ID: I20070516000025
Medical Identifiers
Medical identifiers for Dr Matthew Thomas Rondina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538183991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 5617387-1205 (Utah) | Secondary |
| 208M00000X | Hospitalist | 5617387-1205 (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 Matthew Thomas Rondina 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 | 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 Matthew Thomas Rondina 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 Thomas Rondina, MD
Po Box 581284,
Slc, UT 84158-1284
Ph: (801) 243-6275 | Dr Matthew Thomas Rondina, MD
Va Slc Hcs, 500 Foothill Drive,
Slc, UT 84148-0001
Ph: (801) 582-1565 |
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