Department Of Ophthalmology - Medicare in Salt Lake City, UT

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Department Of Ophthalmology is a medicare enrolled "Ophthalmology" provider in Salt Lake City, Utah. Their current practice location is 65 Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 581-3195.

Department Of Ophthalmology is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Department Of Ophthalmology is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1851327415.

Contact Information

Department Of Ophthalmology
65 Mario Capecchi Dr,
Salt Lake City, UT 84132-0001
(801) 581-3195
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDepartment Of Ophthalmology
TypeFacility
SpecialityOphthalmology
Location65 Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851327415
  • Provider Enumeration Date: 06/24/2006
  • Last Update Date: 04/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6507859899
  • Enrollment ID: O20040405000187

Medical Identifiers

Medical identifiers for Department Of Ophthalmology such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851327415NPI-NPPES
805078300OtherIDIDAHO MEDICAID
122455700OtherWYWYOMING MEDICAID
100503634OtherNVNEVADA MEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
152WP0200XOptometrist - Pediatrics (* (Not Available))Secondary
156FC0800XTechnician/technologist - Contact Lens (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Department Of Ophthalmology acts as a billing entity for following providers:
Provider NameMark D Mifflin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1548350150
PECOS PAC ID: 9133033699
Enrollment ID: I20040405000371
Provider NameBhupendra C Patel
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1366436412
PECOS PAC ID: 8527039437
Enrollment ID: I20040804000659
Provider NameJudith Warner
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1659461242
PECOS PAC ID: 4789646274
Enrollment ID: I20041027000898
Provider NameGeoffrey C Tabin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1912097544
PECOS PAC ID: 7719932136
Enrollment ID: I20050318000522
Provider NameRobert O Hoffman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992895593
PECOS PAC ID: 4587686928
Enrollment ID: I20051228000490
Provider NameRobert M Christiansen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1114991841
PECOS PAC ID: 4385714070
Enrollment ID: I20080606000657
Provider NameDavid A Spencer
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841225828
PECOS PAC ID: 0143378661
Enrollment ID: I20090511000189
Provider NameBarbara Marie Wirostko
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1326045261
PECOS PAC ID: 4981891926
Enrollment ID: I20101203000188
Provider NameSusan Chortkoff
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1861792665
PECOS PAC ID: 6305028291
Enrollment ID: I20110314001023
Provider NameSpencer D Mortensen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548321078
PECOS PAC ID: 2668620022
Enrollment ID: I20120911000094
Provider NameAlison Voigt Crum
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1275739096
PECOS PAC ID: 4688798549
Enrollment ID: I20121112000580
Provider NameAmy Lin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1104045566
PECOS PAC ID: 5799876686
Enrollment ID: I20140806002732

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. Department Of Ophthalmology 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 AddressPractice Location Address
Department Of Ophthalmology
Po Box 413075,
Salt Lake City, UT 84141-3075

Ph: (801) 581-3195		Department Of Ophthalmology
65 Mario Capecchi Dr,
Salt Lake City, UT 84132-0001

Ph: (801) 581-3195

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.