Sarah T Pietruszka, MD, PT, DPT is a medicare enrolled "Pediatrics" provider in Salt Lake City, Utah. Her current practice location is
81 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 662-5701.
Sarah T Pietruszka is licensed to practice in Utah (license number 11901395-1205) 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 1205169497.
Healthcare Provider's Profile
| Full Name | Sarah T Pietruszka |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 81 N Mario Capecchi Dr, 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: 1205169497
- Provider Enumeration Date: 09/07/2009
- Last Update Date: 04/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820128150
- Enrollment ID: I20220422002498
Medical Identifiers
Medical identifiers for Sarah T Pietruszka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205169497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 7825 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 11901395-1205 (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. Sarah T Pietruszka allows following entities to bill medicare on her behalf.
| Provider Name | Ihc Health Services Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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| Provider Name | University Of Utah Pediatric Services |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487018974
PECOS PAC ID: 0547552473
Enrollment ID: O20160713000371 |
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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. Sarah T Pietruszka 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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Sarah T Pietruszka, MD, PT, DPT
81 N Mario Capecchi Dr,
Salt Lake City, UT 84113-1125
Ph: (801) 662-5701 | Sarah T Pietruszka, MD, PT, DPT
81 N Mario Capecchi Dr,
Salt Lake City, UT 84113-1125
Ph: (801) 662-5701 |
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