Dr Daniel Dennis Alsup Jr, MD - Medicare Family Practice in Fountain Green, UT

Dr Daniel Dennis Alsup Jr, MD is a medicare enrolled "Family Medicine" physician in Fountain Green, Utah. He went to Georgetown University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Central Valley Medical Center and his current practice location is 275 W 300 S, Fountain Green, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 623-3200.

Dr Daniel Dennis Alsup Jr is licensed to practice in Utah (license number 3126271205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770658684.

Contact Information

Dr Daniel Dennis Alsup Jr, MD
275 W 300 S,
Fountain Green, UT 84632-7785
(435) 623-3200
Not Available



Physician's Profile

Full NameDr Daniel Dennis Alsup Jr
GenderMale
SpecialityFamily Practice
Experience30 Years
Location275 W 300 S, Fountain Green, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Daniel Dennis Alsup Jr attended and graduated from Georgetown University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1770658684
  • Provider Enumeration Date: 11/24/2006
  • Last Update Date: 07/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486671039
  • Enrollment ID: I20051102000146

Medical Identifiers

Medical identifiers for Dr Daniel Dennis Alsup Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770658684NPI-NPPES
1548202096MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 3126271205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Central Valley Medical Center - CahNephi, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Valley Medical Center266838046017

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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 Daniel Dennis Alsup Jr allows following entities to bill medicare on his behalf.
Entity NameCentral Valley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992724975
PECOS PAC ID: 2668380460
Enrollment ID: O20040419000626

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Entity NameCentral Valley Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1881658110
PECOS PAC ID: 2668380460
Enrollment ID: O20061104000178

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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. Dr Daniel Dennis Alsup Jr 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 Daniel Dennis Alsup Jr, MD
48 W 1500 N,
Nephi, UT 84648-8900

Ph: (435) 623-3200
Dr Daniel Dennis Alsup Jr, MD
275 W 300 S,
Fountain Green, UT 84632-7785

Ph: (435) 623-3200

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Family Medicine Doctors in Fountain Green, UT


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