Eliza Rachelle Gedge, PHD, LP in Provo, UT - Medicare Psychologist Provider

Eliza Rachelle Gedge, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Provo, Utah. Her current practice location is 750 N Freedom Blvd, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 373-0639.

Eliza Rachelle Gedge is licensed to practice in Utah (license number 12966150-25801) 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 1003197658.

Contact Information

	Eliza Rachelle Gedge, PHD, LP
	750 N Freedom Blvd, Provo, UT 84601-1677
	(801) 373-0639
	(801) 373-0639

Map and Direction

Healthcare Provider's Profile

Full Name	Eliza Rachelle Gedge
Gender	Female
Speciality	Psychologist - Clinical
Location	750 N Freedom Blvd, 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: 1003197658
Provider Enumeration Date: 09/08/2011
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2961868849
Enrollment ID: I20230518002645

Medical Identifiers

Medical identifiers for Eliza Rachelle Gedge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003197658	NPI	-	NPPES
1883825	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	6301014858 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	12966150-2501 (Utah)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	12966150-25801 (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. Eliza Rachelle Gedge allows following entities to bill medicare on her behalf.

Entity Name	Wasatch Behavioral Health Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014

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. Eliza Rachelle Gedge 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
Eliza Rachelle Gedge, PHD, LP 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-0639	Eliza Rachelle Gedge, PHD, LP 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-0639

Reviews and Comments

Psychologist in Provo, UT

Eric Ghelfi, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 803, Provo, UT 84604 Phone: 801-235-7246
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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

Eliza Rachelle Gedge, PHD, LP - Medicare Psychologist in Provo, UT