Emily Moulton Parker, PHD in Salt Lake City, UT - Medicare Psychologist Provider

Emily Moulton Parker, PHD is a medicare enrolled "Psychologist - Clinical" provider in Salt Lake City, Utah. Her current practice location is 81 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-2205.

Emily Moulton Parker is licensed to practice in Utah (license number 11488528-2501) 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 1568082360.

Contact Information

	Emily Moulton Parker, PHD
	81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125
	(801) 581-2205
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Moulton Parker
Gender	Female
Speciality	Psychologist - Clinical
Location	81 N Mario Capecchi Dr, 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: 1568082360
Provider Enumeration Date: 04/21/2020
Last Update Date: 11/10/2021

Medicare PECOS Information:

PECOS PAC ID: 7719300086
Enrollment ID: I20200702001677

Medical Identifiers

Medical identifiers for Emily Moulton Parker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568082360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	11488528-2501 (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. Emily Moulton Parker allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

Entity Name	University Of Utah Pediatric Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309

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. Emily Moulton Parker 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
Emily Moulton Parker, PHD 3521 S 1200 E Frnt, Millcreek, UT 84106-4489 Ph: (215) 913-7403	Emily Moulton Parker, PHD 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 Ph: (801) 581-2205

Reviews and Comments

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Emily Moulton Parker, PHD - Medicare Psychologist in Salt Lake City, UT