Theodore A Hartridge, DO in Salt Lake City, UT

Theodore A Hartridge, DO is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2019 and has 5 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice University Of Utah Adult Services, University Of Utah Adult Services and his current practice location is 30 N 1900 E Rm 1c026, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2272.

Theodore A Hartridge is licensed to practice in Utah (license number 11907384-1204) 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 1932669686.

Contact Information

	Theodore A Hartridge, DO
	30 N 1900 E Rm 1c026, Salt Lake City, UT 84132-0002
	(801) 581-2272
	Not Available

Map and Direction

Physician's Profile

Full Name	Theodore A Hartridge
Gender	Male
Speciality	Emergency Medicine
Experience	5 Years
Location	30 N 1900 E Rm 1c026, Salt Lake City, 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:

Theodore A Hartridge attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2019

NPI Data:

NPI Number: 1932669686
Provider Enumeration Date: 03/20/2019
Last Update Date: 08/12/2022

Medicare PECOS Information:

PECOS PAC ID: 4082032891
Enrollment ID: I20220712000617

Medical Identifiers

Medical identifiers for Theodore A Hartridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932669686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	11907384-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Sweetwater County	Rock springs, WY	Hospital
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1435
University Of Utah Adult Services	0941525273	1435

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. Theodore A Hartridge allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Theodore A Hartridge 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
Theodore A Hartridge, DO 30 N 1900 E Rm 1c026, Salt Lake City, UT 84132-0002 Ph: (801) 581-2272	Theodore A Hartridge, DO 30 N 1900 E Rm 1c026, Salt Lake City, UT 84132-0002 Ph: (801) 581-2272

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Theodore A Hartridge, DO - Medicare Emergency Medicine in Salt Lake City, UT