Dr Elizabeth Ann Earle, PHD in Salt Lake City, UT - Medicare Psychologist Provider

Dr Elizabeth Ann Earle, PHD is a medicare enrolled "Psychologist - Clinical" provider in Salt Lake City, Utah. Her current practice location is 4568 S Highland Dr Ste 270, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 478-2780.

Dr Elizabeth Ann Earle is licensed to practice in Utah (license number 377440-2501) 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 1558351007.

Contact Information

	Dr Elizabeth Ann Earle, PHD
	4568 S Highland Dr Ste 270, Salt Lake City, UT 84117
	(801) 478-2780
	(801) 478-2781

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Elizabeth Ann Earle
Gender	Female
Speciality	Psychologist - Clinical
Location	4568 S Highland Dr Ste 270, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558351007
Provider Enumeration Date: 10/26/2005
Last Update Date: 08/13/2018

Medicare PECOS Information:

PECOS PAC ID: 8628963261
Enrollment ID: I20040706001083

Medical Identifiers

Medical identifiers for Dr Elizabeth Ann Earle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558351007	NPI	-	NPPES
R13268	Other	UT	STERLING
680012550	Other	UT	RAILROAD MEDICARE
37744025001001	Other	UT	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	377440-2501 (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. Dr Elizabeth Ann Earle allows following entities to bill medicare on her behalf.

Entity Name	Advanced Behavioral Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013981935 PECOS PAC ID: 3577458108 Enrollment ID: O20040220000873

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. Dr Elizabeth Ann Earle 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
Dr Elizabeth Ann Earle, PHD 9891 Borg Dr, Sandy, UT 84092-4120 Ph: (801) 403-4631	Dr Elizabeth Ann Earle, PHD 4568 S Highland Dr Ste 270, Salt Lake City, UT 84117 Ph: (801) 478-2780

Reviews and Comments

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Dr Elizabeth Ann Earle, PHD - Medicare Psychologist in Salt Lake City, UT