Theresa A Ularich, in Salt Lake City, UT - Medicare Nurse Practitioner

Theresa A Ularich, is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. Her current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-2121.

Theresa A Ularich is licensed to practice in Utah (license number 360240-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134208606.

Contact Information

	Theresa A Ularich,
	50 N Medical Dr, Salt Lake City, UT 84132-0001
	(801) 581-2121
	Not Available

Map and Direction

Provider's Profile

Full Name	Theresa A Ularich
Gender	Female
Speciality	Nurse Practitioner - Family
Location	50 N Medical Dr, 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: 1134208606
Provider Enumeration Date: 11/03/2006
Last Update Date: 06/18/2019

Medicare PECOS Information:

PECOS PAC ID: 9234224767
Enrollment ID: I20070928000430

Medical Identifiers

Medical identifiers for Theresa A Ularich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134208606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	360240-4405 (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. Theresa A Ularich allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Theresa A Ularich 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
Theresa A Ularich, Po Box 58417, Salt Lake City, UT 84158-0417 Ph: (801) 213-3800	Theresa A Ularich, 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-2121

Reviews and Comments

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Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
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Theresa A Ularich, - Medicare Nurse Practitioner in Salt Lake City, UT