Trae Mendenhall, in Ogden, UT - Medicare Psychologist Provider

Trae Mendenhall, is a medicare enrolled "Psychologist" provider in Ogden, Utah. His current practice location is 237 26th St, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 625-3700.

Trae Mendenhall is licensed to practice in * (Not Available) (license number ) 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 1275306284.

Contact Information

	Trae Mendenhall,
	237 26th St, Ogden, UT 84401-3105
	(801) 625-3700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Trae Mendenhall
Gender	Male
Speciality	Psychologist
Location	237 26th St, Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275306284
Provider Enumeration Date: 11/01/2023
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6305284290
Enrollment ID: I20240411001019

Medical Identifiers

Medical identifiers for Trae Mendenhall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275306284	NPI	-	NPPES
000055266	Other	UT	MEDICARE PIN
8760003008007	Medicaid	UT
260022408	Other	UT	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	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. Trae Mendenhall allows following entities to bill medicare on his behalf.

Entity Name	Weber Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043243140 PECOS PAC ID: 3274430244 Enrollment ID: O20031217000665

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. Trae Mendenhall 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
Trae Mendenhall, 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3700	Trae Mendenhall, 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3700

Reviews and Comments

Psychologist in Ogden, UT

Dr. Jamie E Brass, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3903 Harrison Blvd Ste 300, Ogden, UT 84403 Phone: 801-387-5600
Dr. Ricky D. Hawks, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5677 S 1475 E, Suite 4a, Ogden, UT 84403 Phone: 801-621-6032 Fax: 801-409-0905
Tayler M Wayment, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3903 Harrison Blvd Ste 300, Ogden, UT 84403 Phone: 801-387-5600
Hilary Jane Jensen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4387 Harrison Blvd Ste C4, Ogden, UT 84403 Phone: 801-387-4970
Gary L Devries, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5030 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-5620 Fax: 801-475-1621
Dr. Brian Dion Petrovich, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1186 E 4600 S, Ogden, UT 84403 Phone: 801-505-6545

Trae Mendenhall, - Medicare Psychologist in Ogden, UT