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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