Mark J Paradise, MD in Salt Lake City, UT - Medicare Emergency Medicine

Mark J Paradise, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. His current practice location is 1200 E 3900 S, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 268-7975.

Mark J Paradise is licensed to practice in Utah (license number 121172-1205) 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 1306887591.

Contact Information

	Mark J Paradise, MD
	1200 E 3900 S, Salt Lake City, UT 84124-1300
	(801) 268-7975
	(801) 270-3324

Map and Direction

Physician's Profile

Full Name	Mark J Paradise
Gender	Male
Speciality	Emergency Medicine
Location	1200 E 3900 S, 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: 1306887591
Provider Enumeration Date: 06/09/2006
Last Update Date: 10/31/2007

Medicare PECOS Information:

PECOS PAC ID: 1850292525
Enrollment ID: I20040115000947

Medical Identifiers

Medical identifiers for Mark J Paradise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306887591	NPI	-	NPPES
870306646002	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	121172-1205 (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. Mark J Paradise allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Integrated Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013

Entity Name	Teladoc Health Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245403567 PECOS PAC ID: 3173786837 Enrollment ID: O20211110002648

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. Mark J Paradise 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
Mark J Paradise, MD Po Box 95970, South Jordan, UT 84095-0970 Ph: (801) 352-9500	Mark J Paradise, MD 1200 E 3900 S, Salt Lake City, UT 84124-1300 Ph: (801) 268-7975

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
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Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Mark J Paradise, MD - Medicare Emergency Medicine in Salt Lake City, UT