Brent Shepherd, MD - Medicare Preventive Medicine in Salt Lake City, UT

Brent Shepherd, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Salt Lake City, Utah. His current practice location is 391 S Chipeta Way Ste C, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-4800.

Brent Shepherd is licensed to practice in Utah (license number 10421634-1205) 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 1770946998.

Contact Information

Brent Shepherd, MD
391 S Chipeta Way Ste C,
Salt Lake City, UT 84108-1294
(801) 581-4800
Not Available



Physician's Profile

Full NameBrent Shepherd
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location391 S Chipeta Way Ste C, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770946998
  • Provider Enumeration Date: 04/04/2016
  • Last Update Date: 07/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7012200058
  • Enrollment ID: I20200630001710

Medical Identifiers

Medical identifiers for Brent Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770946998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 10421634-1205 (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. Brent Shepherd allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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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. Brent Shepherd 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
Brent Shepherd, MD
391 S Chipeta Way Ste C,
Salt Lake City, UT 84108-1294

Ph: (801) 581-4800
Brent Shepherd, MD
391 S Chipeta Way Ste C,
Salt Lake City, UT 84108-1294

Ph: (801) 581-4800

News Archive

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Preventive Medicine Doctors in Salt Lake City, UT

Dr. Harriet W Hopf, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Medical Dr, U Of U Department Of Anesthesiology, Salt Lake City, UT 84158
Phone: 801-581-6393    Fax: 801-581-4367
Karl A. Nielson, DO
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 250 E 200 S Rm 1202, Salt Lake City, UT 84111
Phone: 801-581-3841    
Mrs. Alice Dowling, M.D., M.P.H.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 3837 E Sunnydale Ln, Salt Lake City, UT 84108
Phone: 801-583-0544    
Tran Nam Le, MD
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 250 E 200 S Rm 1202, Salt Lake City, UT 84111
Phone: 801-581-3841    
Dr. James R. Saullo, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 250 E 200 S Rm 1202, Salt Lake City, UT 84111
Phone: 801-581-3841    
Dr. Mark Vernon Anderson, MD
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2390 S Redwood Rd, Salt Lake City, UT 84119
Phone: 801-975-1600    Fax: 801-975-1666
Dr. Matthew Adams Hughes, M.D., M.P.H
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 391 Chipeta Way Ste C, Salt Lake City, UT 84108
Phone: 801-581-8719    Fax: 801-581-7224

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