Matthew Poulsen, is a medicare enrolled "Orthopaedic Surgery" physician in Orem, Utah. He went to Medical College Of Wisconsin and graduated in 2004 and has 21 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is
700 W 800 N, Suite 100, Orem, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 224-5373.
Matthew Poulsen is licensed to practice in Utah (license number 4725374-1205) 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 1881635761.
Physician's Profile
| Full Name | Matthew Poulsen |
|---|
| Gender | Male |
|---|
| Speciality | Orthopedic Surgery |
|---|
| Experience | 21 Years |
|---|
| Location | 700 W 800 N, Orem, 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:
- Matthew Poulsen attended and graduated from Medical College Of Wisconsin in 2004
NPI Data:
- NPI Number: 1881635761
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 09/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 9830368638
- Enrollment ID: I20110812000119
Medical Identifiers
Medical identifiers for Matthew Poulsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881635761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 43447 (Kentucky) | Secondary |
| 207X00000X | Orthopaedic Surgery | 4725374-1205 (Utah) | Primary |
Medical Facilities Affiliation
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. Matthew Poulsen allows following entities to bill medicare on his behalf.
| Entity Name | Riverside Medical Center Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649567504
PECOS PAC ID: 7214161256
Enrollment ID: O20131007001490 |
|---|
| Entity Name | Elite Orthopedic Surgery And Sports Medicine |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1710644463
PECOS PAC ID: 1658763073
Enrollment ID: O20220117000051 |
|---|
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. Matthew Poulsen 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 |
|---|
Matthew Poulsen,
1055 N 500 W,
Provo, UT 84604-3305
Ph: (801) 354-8225 | Matthew Poulsen,
700 W 800 N, Suite 100,
Orem, UT 84057-6301
Ph: (801) 224-5373 |
Reviews and Comments