Mr Byron J Moulton, AUDIOLOGIST - Medicare Audiologist in Provo, UT

Mr Byron J Moulton, AUDIOLOGIST is a medicare enrolled "Audiologist" provider in Provo, Utah. His current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 373-7850.

Mr Byron J Moulton is licensed to practice in Utah (license number 57266144101) 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 1386667293.

Contact Information

Mr Byron J Moulton, AUDIOLOGIST
1034 N 500 W,
Provo, UT 84604-3380
(801) 373-7850
(801) 357-7997



Healthcare Provider's Profile

Full NameMr Byron J Moulton
GenderMale
SpecialityAudiologist
Location1034 N 500 W, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386667293
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9335102060
  • Enrollment ID: I20041104000475

Medical Identifiers

Medical identifiers for Mr Byron J Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386667293NPI-NPPES
57266144101OtherUTUTAH STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 57266144101 (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. Mr Byron J Moulton allows following entities to bill medicare on his behalf.
Provider NameIhc Health Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079

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Provider NameIhc Health Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Mr Byron J Moulton 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 AddressPractice Location Address
Mr Byron J Moulton, AUDIOLOGIST
Po Box 30180,
Salt Lake City, UT 84130-0180

Ph: (801) 357-7475
Mr Byron J Moulton, AUDIOLOGIST
1034 N 500 W,
Provo, UT 84604-3380

Ph: (801) 373-7850

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› Verified 4 days ago


Audiologist in Provo, UT

Steven Forsey, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 300 W, Ste 401, Provo, UT 84604
Phone: 801-357-7499    Fax: 801-373-5980
Bennett Joseph Chargo,
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1832 N 1120 W, Provo, UT 84604
Phone: 801-495-4800    
Mindy Ann Norris, AUD
Audiologist
Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-7448    
Adam Scott Ireland, AUD CCC-A
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 2230 N University Pkwy Ste 9b, Provo, UT 84604
Phone: 801-375-3175    Fax: 801-375-2818
Curtis G Thomas, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 300 W, Ste 401, Provo, UT 84604
Phone: 801-357-7499    Fax: 801-373-5980
Kimberly A Brauer, AUD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 3303 N University Ave, Provo, UT 84604
Phone: 801-373-7438    Fax: 013-737-4868
Dr. William Kelly Dick, PHD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-373-7850    Fax: 801-357-7997

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