Robert W Slack, DO - Medicare Family Practice in Highland, UT

Robert W Slack, DO is a medicare enrolled "Family Medicine" physician in Highland, Utah. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc, Utah Modern Medical Llc and his current practice location is 10968 N Alpine Hwy, Highland, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 763-2900.

Robert W Slack is licensed to practice in Utah (license number 53766721204) 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 1467467399.

Contact Information

Robert W Slack, DO
10968 N Alpine Hwy,
Highland, UT 84003-8874
(801) 763-2900
Not Available



Physician's Profile

Full NameRobert W Slack
GenderMale
SpecialityFamily Practice
Experience22 Years
Location10968 N Alpine Hwy, Highland, 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:
  • Robert W Slack attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2002
  NPI Data:
  • NPI Number: 1467467399
  • Provider Enumeration Date: 07/29/2006
  • Last Update Date: 03/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799672853
  • Enrollment ID: I20040303000090

Medical Identifiers

Medical identifiers for Robert W Slack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467467399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 53766721204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
American Fork HospitalAmerican fork, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063
Utah Modern Medical Llc87294617284

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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. Robert W Slack 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 NameUtah Modern Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689310948
PECOS PAC ID: 8729461728
Enrollment ID: O20220823003069

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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. Robert W Slack 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
Robert W Slack, DO
3401 N Thanksgiving Wyay, Ste 260,
Lehi, UT 84043-4158

Ph: (385) 455-7170
Robert W Slack, DO
10968 N Alpine Hwy,
Highland, UT 84003-8874

Ph: (801) 763-2900

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Family Medicine Doctors in Highland, UT

Peter Michael Sundwall,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10290 N. North County Blvd. Ste 200, Highland, UT 84003
Phone: 208-625-6000    Fax: 208-625-6001
Dr. Charles Wesley Walton, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11286 N Tamarack Dr, Highland, UT 84003
Phone: 801-492-9162    Fax: 801-492-9163
Tyler S Carroll, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10968 N Alpine Hwy, Highland, UT 84003
Phone: 801-763-2900    
Peter V Sundwall Jr., M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10290 N North County Blvd, Suite 200, Highland, UT 84003
Phone: 801-899-3391    Fax: 801-685-3266
Jeanne Marie Borget, APRN
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10644 N 5660 W, Highland, UT 84003
Phone: 801-664-7679    
Terrance Stephen Drake, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5563 Coventry Rd, Highland, UT 84003
Phone: 801-216-4581    

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