Peter J Deweerd, MD in Salt Lake City, UT - Medicare Emergency Medicine

Peter J Deweerd, 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.

Peter J Deweerd is licensed to practice in Utah (license number 5236766-1205) 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 1134166259.

Contact Information

	Peter J Deweerd, 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	Peter J Deweerd
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: 1134166259
Provider Enumeration Date: 05/31/2006
Last Update Date: 10/19/2007

Medicare PECOS Information:

PECOS PAC ID: 9638121536
Enrollment ID: I20050218000817

Medical Identifiers

Medical identifiers for Peter J Deweerd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134166259	NPI	-	NPPES
870306646002	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5236766-1205 (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. Peter J Deweerd 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

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

Reviews and Comments

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Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Peter J Deweerd, MD - Medicare Emergency Medicine in Salt Lake City, UT