Dr Jared W Henricksen, MD - Medicare Pediatrics in Slc, UT

Dr Jared W Henricksen, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Slc, Utah. His current practice location is 100 Mario Capecchi Dr, Slc, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-1000.

Dr Jared W Henricksen is licensed to practice in Utah (license number 347933-1205) 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 1396762480.

Contact Information

Dr Jared W Henricksen, MD
100 Mario Capecchi Dr,
Slc, UT 84113-1103
(801) 662-1000
Not Available



Physician's Profile

Full NameDr Jared W Henricksen
GenderMale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location100 Mario Capecchi Dr, Slc, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396762480
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 04/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587669981
  • Enrollment ID: I20080725000300

Medical Identifiers

Medical identifiers for Dr Jared W Henricksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396762480NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine 347933-1205 (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 Jared W Henricksen allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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Entity NameUniversity Of Utah Pediatric Acuity Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619325131
PECOS PAC ID: 6406148345
Enrollment ID: O20160713000869

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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 Jared W Henricksen 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 Jared W Henricksen, MD
295 Chipeta Way, Po Box 581289,
Slc, UT 84108-1287

Ph: (801) 587-7563
Dr Jared W Henricksen, MD
100 Mario Capecchi Dr,
Slc, UT 84113-1103

Ph: (801) 662-1000

News Archive

Childhood inflammation linked to adult psychosis

Elevated levels of the inflammatory marker interleukin -6 in childhood are associated with an increased risk of psychosis and depression in adulthood, research shows.

Lawmakers seek compromise on health overhaul proposals

Democrats and Republicans are saying that they will need to compromise on a government-run public plan if they are to meet the deadline of having a bill on the Senate floor by the August recess, The Associated Press reports.

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A gene therapy approach to treating the progressive muscle wasting disorder Duchenne muscular dystrophy (DMD) that does not replace the mutated DMD gene but instead delivers the gene for ITGA7, a protein in skeletal muscle, led to reduced symptoms and significantly extended life span in a mouse model of severe DMD. Over-expression of ITGA7 did not elicit an immune reaction, further supporting its potential as a novel treatment for DMD, according to a new study published in Human Gene Therapy, a peer-reviewed journal from Mary Ann Liebert, Inc., publishers.

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The American Academy of Dermatology Association (AADA) is disappointed that the United States Congress has failed to approve legislation preventing the implementation of a 21 percent cut in payments for physicians who treat Medicare patients.

Women with morbid obesity develop breast cancer at a younger age

Obese women develop breast cancer at a younger age than other women. Furthermore, the likelihood of developing breast cancer is much higher in patients with morbid obesity.

Read more News

› Verified 3 days ago


Pediatrics Doctors in Slc, UT

Molly A O'gorman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 N Medical Dr, Slc, UT 84113
Phone: 801-588-2000    
Dr. Venugopal Amula,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 N Mario Capecchi Dr, Slc, UT 84113
Phone: 806-622-2550    
Dr. Louis Borgenicht, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 850 E 300 S Ste 5, Slc, UT 84102
Phone: 801-531-8689    Fax: 801-531-1277
James Thomas, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 295 S Chipeta Way, Slc, UT 84108
Phone: 801-581-4178    Fax: 801-587-7417
Spencer Barfuss, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 81 N Mario Capecchi Dr, Slc, UT 84113
Phone: 801-213-7609    

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