Sean Manning Udell, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Park City, Utah. His current practice location is
750 Round Valley Dr Ste 201, Park City, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 649-7680.
Sean Manning Udell is licensed to practice in Utah (license number 13141285-1205) 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 1275093254.
Physician's Profile
| Full Name | Sean Manning Udell |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 750 Round Valley Dr Ste 201, Park City, 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: 1275093254
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 04/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648626168
- Enrollment ID: I20231019001595
Medical Identifiers
Medical identifiers for Sean Manning Udell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275093254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MT218016 (Pennsylvania) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD474556 (Pennsylvania) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MT218016 (Pennsylvania) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 13141285-1205 (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. Sean Manning Udell allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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. Sean Manning Udell 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 |
|---|
Sean Manning Udell, MD
750 Round Valley Dr Ste 201,
Park City, UT 84060-7549
Ph: (435) 649-7680 | Sean Manning Udell, MD
750 Round Valley Dr Ste 201,
Park City, UT 84060-7549
Ph: (435) 649-7680 |
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