Mr Douglas Marr Woseth, MD is a medicare enrolled "Specialist" physician in Salt Lake, Utah. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Woseth Dermatology, P.c. and his current practice location is
1548 East 4500 South,, Suite 202, Salt Lake, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 266-8841.
Mr Douglas Marr Woseth is licensed to practice in Utah (license number 6144238) 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 1619978970.
Physician's Profile
Full Name | Mr Douglas Marr Woseth |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 24 Years |
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Location | 1548 East 4500 South,, Salt Lake, Utah |
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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:
- Mr Douglas Marr Woseth attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2000
NPI Data:
- NPI Number: 1619978970
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 09/09/2014
Medicare PECOS Information:
- PECOS PAC ID: 8123929841
- Enrollment ID: I20060621000094
Medical Identifiers
Medical identifiers for Mr Douglas Marr Woseth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619978970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | A79309 (California) | Secondary |
174400000X | Specialist | 6144238 (Utah) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Woseth Dermatology, P.c. | 1557392313 | 10 |
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. Mr Douglas Marr Woseth allows following entities to bill medicare on his behalf.
Entity Name | Woseth Dermatology, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457470585 PECOS PAC ID: 1557392313 Enrollment ID: O20050822001333 |
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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. Mr Douglas Marr Woseth 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 |
Mr Douglas Marr Woseth, MD 1548 East 4500 South,, Suite 202, Salt Lake, UT 84117-5209 Ph: (801) 266-8841 | Mr Douglas Marr Woseth, MD 1548 East 4500 South,, Suite 202, Salt Lake, UT 84117-5209 Ph: (801) 266-8841 |
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