Dr Adam Phillip Pendleton, MD - Medicare Psychiatry & Neurology in Holladay, UT

Dr Adam Phillip Pendleton, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Holladay, Utah. His current practice location is 6550 S Millrock Dr Ste 125, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 821-2333.

Dr Adam Phillip Pendleton is licensed to practice in Utah (license number 10824745-1205) 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 1013350982.

Contact Information

Dr Adam Phillip Pendleton, MD
6550 S Millrock Dr Ste 125,
Holladay, UT 84121-5794
(801) 821-2333
(801) 901-1194



Physician's Profile

Full NameDr Adam Phillip Pendleton
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location6550 S Millrock Dr Ste 125, Holladay, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013350982
  • Provider Enumeration Date: 04/10/2013
  • Last Update Date: 11/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8224330113
  • Enrollment ID: I20181030000055

Medical Identifiers

Medical identifiers for Dr Adam Phillip Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013350982NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 10824745-1205 (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. Dr Adam Phillip Pendleton allows following entities to bill medicare on his behalf.
Entity NameSalt Lake Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295066116
PECOS PAC ID: 6709915473
Enrollment ID: O20120315000189

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› Verified 4 days ago

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. Dr Adam Phillip Pendleton 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
Dr Adam Phillip Pendleton, MD
3300 N Triumph Blvd Ste 500,
Lehi, UT 84043-6475

Ph: (801) 821-2781
Dr Adam Phillip Pendleton, MD
6550 S Millrock Dr Ste 125,
Holladay, UT 84121-5794

Ph: (801) 821-2333

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› Verified 4 days ago


Psychiatry & Neurology Doctors in Holladay, UT

Steven Vincent Teynor, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 6550 S Millrock Dr Ste 125, Holladay, UT 84121
Phone: 801-821-2333    Fax: 801-901-1194
Mark G Schwei, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 2870 E Live Oak Cir, Holladay, UT 84117
Phone: 801-870-9746    
Patricia P Cardenas-wallenfelt, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 2290 E. 4500 So., Suite 215, Holladay, UT 84117
Phone: 801-274-3625    

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