Jeremy Wallentine, MD in Slc, UT

Jeremy Wallentine, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Slc, Utah. He went to University Of Utah School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Utah Pathology Services Inc and his current practice location is 2913 Garden Meadows Cv, Slc, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 865-2442.

Jeremy Wallentine is licensed to practice in Utah (license number 3289491205) 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 1619130036.

Contact Information

	Jeremy Wallentine, MD
	2913 Garden Meadows Cv, Slc, UT 84106-1302
	(801) 865-2442
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeremy Wallentine
Gender	Male
Speciality	Pathology
Experience	19 Years
Location	2913 Garden Meadows Cv, Slc, 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:

Jeremy Wallentine attended and graduated from University Of Utah School Of Medicine in 2005

NPI Data:

NPI Number: 1619130036
Provider Enumeration Date: 07/07/2008
Last Update Date: 11/09/2011

Medicare PECOS Information:

PECOS PAC ID: 1951427046
Enrollment ID: I20100927000470

Medical Identifiers

Medical identifiers for Jeremy Wallentine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619130036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	3289491205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lds Hospital	Salt lake city, UT	Hospital
Intermountain Medical Center	Murray, UT	Hospital
Utah Valley Hospital	Provo, UT	Hospital
Mckay Dee Hospital	Ogden, UT	Hospital
American Fork Hospital	American fork, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Utah Pathology Services Inc	1355251521	27

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. Jeremy Wallentine allows following entities to bill medicare on his behalf.

Entity Name	Utah Pathology Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134188998 PECOS PAC ID: 1355251521 Enrollment ID: O20031208000678

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. Jeremy Wallentine 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
Jeremy Wallentine, MD 2913 Garden Meadows Cv, Slc, UT 84106-1302 Ph: (801) 865-2442	Jeremy Wallentine, MD 2913 Garden Meadows Cv, Slc, UT 84106-1302 Ph: (801) 865-2442

Jeremy Wallentine, MD - Medicare Pathology in Slc, UT