Lee Dupont Trotter, DO is a medicare enrolled "Surgery - Pediatric Surgery" physician in Orem, Utah. His current practice location is
750 W 800 N Ste 330, Orem, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 714-6404.
Lee Dupont Trotter is licensed to practice in Utah (license number 10975405-1204) 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 1013986157.
Physician's Profile
Full Name | Lee Dupont Trotter |
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Gender | Male |
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Speciality | Surgery - Pediatric Surgery |
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Location | 750 W 800 N Ste 330, Orem, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013986157
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 08/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789674540
- Enrollment ID: I20170912002184
Medical Identifiers
Medical identifiers for Lee Dupont Trotter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013986157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4681 (South Dakota) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 10975405-1204 (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. Lee Dupont Trotter allows following entities to bill medicare on his behalf.
Entity Name | Riverton Physician Practices, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205875614 PECOS PAC ID: 8426954496 Enrollment ID: O20040505000232 |
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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. Lee Dupont Trotter 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 |
Lee Dupont Trotter, DO 750 W 800 N Ste 330, Orem, UT 84057-3660 Ph: (801) 714-6404 | Lee Dupont Trotter, DO 750 W 800 N Ste 330, Orem, UT 84057-3660 Ph: (801) 714-6404 |
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