Julie L Waldo, MPT, OCS, CMPT is a medicare enrolled "Specialist" provider in Salt Lake City, Utah. Her current practice location is
150 S 600 E Ste 3b, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 769-6778.
Julie L Waldo is licensed to practice in Utah (license number 344119-2401) 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 1659486256.
Healthcare Provider's Profile
| Full Name | Julie L Waldo |
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| Gender | Female |
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| Speciality | Specialist |
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| Location | 150 S 600 E Ste 3b, Salt Lake 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: 1659486256
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 01/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 1658409024
- Enrollment ID: I20100505000357
Medical Identifiers
Medical identifiers for Julie L Waldo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659486256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2251X0800X | Physical Therapist - Orthopedic | (Utah) | Secondary |
| 174400000X | Specialist | 344119-2401 (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. Julie L Waldo allows following entities to bill medicare on her behalf.
| Provider Name | New Paradigm Physical Therapy |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1073345617
PECOS PAC ID: 7719412121
Enrollment ID: O20241121004307 |
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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. Julie L Waldo 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 |
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Julie L Waldo, MPT, OCS, CMPT
188 E Ensign Vista Dr,
Salt Lake City, UT 84103-2260
Ph: (801) 769-6778 | Julie L Waldo, MPT, OCS, CMPT
150 S 600 E Ste 3b,
Salt Lake City, UT 84102-1961
Ph: (801) 769-6778 |
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