Phillip Carl Hoopes Sr, MD is a medicare enrolled "Ophthalmology" physician in Draper, Utah. His current practice location is
11820 So State St., 200, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 568-0200.
Phillip Carl Hoopes Sr is licensed to practice in Utah (license number 1616761205) 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 1629067921.
Physician's Profile
| Full Name | Phillip Carl Hoopes Sr |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 11820 So State St., Draper, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629067921
- Provider Enumeration Date: 10/19/2005
- Last Update Date: 03/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 0042101974
- Enrollment ID: I20040421001800
Medical Identifiers
Medical identifiers for Phillip Carl Hoopes Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629067921 | NPI | - | NPPES |
| 510929546001 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 1616761205 (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. Phillip Carl Hoopes Sr allows following entities to bill medicare on his behalf.
| Entity Name | Hoopes Vision Correction Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982759122
PECOS PAC ID: 7618874231
Enrollment ID: O20031212000668 |
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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. Phillip Carl Hoopes Sr 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 |
|---|
Phillip Carl Hoopes Sr, MD
11820 South State Street, 200,
Draper, UT 84020-7160
Ph: (801) 568-0200 | Phillip Carl Hoopes Sr, MD
11820 So State St., 200,
Draper, UT 84020-7160
Ph: (801) 568-0200 |
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