Matthew Woolley, PHD in Salt Lake City, UT - Medicare Psychologist Provider

Matthew Woolley, PHD is a medicare enrolled "Psychologist - Clinical" provider in Salt Lake City, Utah. His current practice location is 650 Komas Dr, #208, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 585-1212.

Matthew Woolley is licensed to practice in Utah (license number 3458522501) 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 1871691956.

Contact Information

	Matthew Woolley, PHD
	650 Komas Dr, #208, Salt Lake City, UT 84108-1215
	(801) 585-1212
	(801) 585-9096

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Woolley
Gender	Male
Speciality	Psychologist - Clinical
Location	650 Komas 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: 1871691956
Provider Enumeration Date: 09/20/2006
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 8729016639
Enrollment ID: I20050802000295

Medical Identifiers

Medical identifiers for Matthew Woolley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871691956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3458522501 (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. Matthew Woolley allows following entities to bill medicare on his behalf.

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 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. Matthew Woolley 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
Matthew Woolley, PHD 420 Chelsea Dr, Bountiful, UT 84010-4404 Ph: () -	Matthew Woolley, PHD 650 Komas Dr, #208, Salt Lake City, UT 84108-1215 Ph: (801) 585-1212

Reviews and Comments

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Matthew Woolley, PHD - Medicare Psychologist in Salt Lake City, UT