Dr Katherine Thomas Fortenberry, PHD in Salt Lake City, UT - Medicare Clinical Psychologist Provider

Dr Katherine Thomas Fortenberry, PHD is a medicare enrolled "Psychologist - Clinical" provider in Salt Lake City, Utah. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice University Of Utah Behavioral Health Services and her current practice location is 375 Chipeta Way, Suite A, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 587-3379.

Dr Katherine Thomas Fortenberry is licensed to practice in Utah (license number 8106647-2501) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982902185.

Contact Information

	Dr Katherine Thomas Fortenberry, PHD
	375 Chipeta Way, Suite A, Salt Lake City, UT 84108-1260
	(801) 587-3379
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Katherine Thomas Fortenberry
Gender	Female
Speciality	Clinical Psychologist
Experience	15 Years
Location	375 Chipeta Way, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Katherine Thomas Fortenberry graduated from medical school in 2009

NPI Data:

NPI Number: 1982902185
Provider Enumeration Date: 03/11/2011
Last Update Date: 10/28/2021

Medicare PECOS Information:

PECOS PAC ID: 5496915787
Enrollment ID: I20120323000225

Medical Identifiers

Medical identifiers for Dr Katherine Thomas Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982902185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0004X	Psychologist - Health	50871 (Mississippi)	Secondary
103TC0700X	Psychologist - Clinical	50871 (Mississippi)	Secondary
103TH0004X	Psychologist - Health	8106647-2501 (Utah)	Secondary
103TC0700X	Psychologist - Clinical	8106647-2501 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Behavioral Health Services	9537483607	152

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 Katherine Thomas Fortenberry allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Community Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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 Katherine Thomas Fortenberry 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 Katherine Thomas Fortenberry, PHD 375 Chipeta Way, Suite A, Salt Lake City, UT 84108-1260 Ph: (801) 587-3379	Dr Katherine Thomas Fortenberry, PHD 375 Chipeta Way, Suite A, Salt Lake City, UT 84108-1260 Ph: (801) 587-3379

Reviews and Comments

Psychologist in Salt Lake City, UT

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Bruce Dennis Etringer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S Ste 250, Salt Lake City, UT 84106 Phone: 801-467-8890 Fax: 801-484-3862
Dr. Ann H Tyler, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4505 So Wasatch Blvd, Suite #380, Salt Lake City, UT 84124 Phone: 801-273-7835

Dr Katherine Thomas Fortenberry, PHD - Medicare Psychologist in Salt Lake City, UT