Dr Jeffrey Bentley, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Provo, Utah. His current practice location is
395 W Cougar Blvd Ste 803, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 235-7246.
Dr Jeffrey Bentley is licensed to practice in Utah (license number 8677027-2501) 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 1033655535.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Bentley |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 395 W Cougar Blvd Ste 803, Provo, 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: 1033655535
- Provider Enumeration Date: 01/09/2017
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173991783
- Enrollment ID: I20221201000731
Medical Identifiers
Medical identifiers for Dr Jeffrey Bentley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033655535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 8677027-2501 (Utah) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 8677027-2501 (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 Jeffrey Bentley allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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. Dr Jeffrey Bentley 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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Dr Jeffrey Bentley, PSYD
Po Box 27128,
Salt Lake City, UT 84127-0128
Ph: () - | Dr Jeffrey Bentley, PSYD
395 W Cougar Blvd Ste 803,
Provo, UT 84604-3728
Ph: (801) 235-7246 |
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