Dr Justin Zamora, PHD in Provo, UT - Medicare Psychologist Provider

Dr Justin Zamora, PHD is a medicare enrolled "Psychologist" provider in Provo, Utah. His current practice location is 589 S State St # 506, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 429-2000.

Dr Justin Zamora is licensed to practice in Utah (license number 9709480-2501) 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 1255786976.

Contact Information

	Dr Justin Zamora, PHD
	589 S State St # 506, Provo, UT 84606-5056
	(801) 429-2000
	(801) 429-2002

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Justin Zamora
Gender	Male
Speciality	Psychologist
Location	589 S State St # 506, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255786976
Provider Enumeration Date: 05/01/2016
Last Update Date: 07/11/2024

Medicare PECOS Information:

PECOS PAC ID: 5991188476
Enrollment ID: I20220816002011

Medical Identifiers

Medical identifiers for Dr Justin Zamora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255786976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	9709480-2501 (Utah)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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 Justin Zamora allows following entities to bill medicare on his behalf.

Entity Name	Deborah A Christensen Phd & Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891955936 PECOS PAC ID: 6901891498 Enrollment ID: O20040415000323

Entity Name	Home Clinix Utah Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891455895 PECOS PAC ID: 7810376977 Enrollment ID: O20220620001418

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 Justin Zamora 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 Justin Zamora, PHD 589 S State St, Provo, UT 84606-5056 Ph: (801) 429-2000	Dr Justin Zamora, PHD 589 S State St # 506, Provo, UT 84606-5056 Ph: (801) 429-2000

Reviews and Comments

Psychologist in Provo, UT

Eliza Rachelle Gedge, PH.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-0639 Fax: 801-373-0639
Vaughn E Worthen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1545 Wsc, Provo, UT 84602 Phone: 801-471-6266
Prof. Benjamin Mckay Ogles, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-8193
Dr. Kari A O'grady, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1508 Springdell Cir, Provo, UT 84604 Phone: 410-952-2207
Michaela Shields, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215
Dr. R. Lynn Richards, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1432 E. 850 S., Provo, UT 84606 Phone: 801-371-8787 Fax: 801-371-8784
Dr. Max Ford Mcbride, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W, Suite 414, Provo, UT 84604 Phone: 801-357-7757 Fax: 801-357-8100

Dr Justin Zamora, PHD - Medicare Psychologist in Provo, UT