David Tate, PHD - Medicare in Salt Lake City, UT

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David Tate, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Salt Lake City, Utah. His current practice location is 729 S Arapeen Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 132-1546.

David Tate is licensed to practice in Utah (license number 286133-2501) 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 1568427664.

Contact Information

David Tate, PHD
729 S Arapeen Dr,
Salt Lake City, UT 84108-1218
(801) 132-1546
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDavid Tate
GenderMale
SpecialityClinical Neuropsychologist
Location729 S Arapeen Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568427664
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 12/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385667328
  • Enrollment ID: I20200204000093

Medical Identifiers

Medical identifiers for David Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568427664NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS00895 (Rhode Island)Secondary
103TC0700XPsychologist - Clinical 36454 (Texas)Secondary
103TC0700XPsychologist - Clinical 286133-2501 (Utah)Secondary
103G00000XClinical Neuropsychologist 286133-2501 (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. David Tate allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Utah Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740688613
PECOS PAC ID: 9537483607
Enrollment ID: O20150120001118
Entity NameUniversity Of Utah Pediatric Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649631599
PECOS PAC ID: 3870886898
Enrollment ID: O20160727002309

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. David Tate 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
David Tate, PHD
Po Box 3238,
Boston, MA 02241-3238

Ph: (866) 689-8862		David Tate, PHD
729 S Arapeen Dr,
Salt Lake City, UT 84108-1218

Ph: (801) 132-1546

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.