Timothy Pickett, PA is a medicare enrolled "Physician Assistant" in Salt Lake Cty, Utah. His current practice location is
5097 S 900 E Ste 100, Salt Lake Cty, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 851-5554.
Timothy Pickett is licensed to practice in Utah (license number 4908815-1206) 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 1427467158.
Provider's Profile
Full Name | Timothy Pickett |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 5097 S 900 E Ste 100, Salt Lake Cty, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427467158
- Provider Enumeration Date: 08/06/2014
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163643883
- Enrollment ID: I20141022001789
Medical Identifiers
Medical identifiers for Timothy Pickett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427467158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 4908815-1206 (Utah) | Primary |
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. Timothy Pickett 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 |
Timothy Pickett, PA 5097 S 900 E Ste 100, Salt Lake Cty, UT 84117-5725 Ph: (801) 851-5554 | Timothy Pickett, PA 5097 S 900 E Ste 100, Salt Lake Cty, UT 84117-5725 Ph: (801) 851-5554 |
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