Mark R Briesacher, MD in Salt Lake City, UT

Mark R Briesacher, MD is a medicare enrolled "Pediatrics" physician in Salt Lake City, Utah. His current practice location is 2180 E 4500 S, #210, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 278-4719.

Mark R Briesacher is licensed to practice in Utah (license number 932637891205) 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 1154333029.

Contact Information

	Mark R Briesacher, MD
	2180 E 4500 S, #210, Salt Lake City, UT 84117-4434
	(801) 278-4719
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark R Briesacher
Gender	Male
Speciality	Pediatrics
Location	2180 E 4500 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: 1154333029
Provider Enumeration Date: 08/12/2006
Last Update Date: 12/01/2008

Medicare PECOS Information:

PECOS PAC ID: 5496775009
Enrollment ID: I20051128000868

Medical Identifiers

Medical identifiers for Mark R Briesacher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154333029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	932637891205 (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 R Briesacher allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 R Briesacher 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 R Briesacher, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 278-4719	Mark R Briesacher, MD 2180 E 4500 S, #210, Salt Lake City, UT 84117-4434 Ph: (801) 278-4719

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
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Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
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Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588

Mark R Briesacher, MD - Medicare Pediatrics in Salt Lake City, UT