Dr Brian Dion Petrovich, PSYD - Medicare Psychologist in Ogden, UT

Dr Brian Dion Petrovich, PSYD is a medicare enrolled "Psychologist" provider in Ogden, Utah. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Ogden Psychological Services Llc and his current practice location is 1186 E 4600 S, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 505-6545.

Dr Brian Dion Petrovich is licensed to practice in Missouri (license number 2004017583) 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 1336110568.

Contact Information

Dr Brian Dion Petrovich, PSYD
1186 E 4600 S,
Ogden, UT 84403-4332
(801) 505-6545
Not Available



Healthcare Provider's Profile

Full NameDr Brian Dion Petrovich
GenderMale
SpecialityClinical Psychologist
Experience22 Years
Location1186 E 4600 S, Ogden, 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 Brian Dion Petrovich graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1336110568
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 05/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870520240
  • Enrollment ID: I20191025002132

Medical Identifiers

Medical identifiers for Dr Brian Dion Petrovich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336110568NPI-NPPES
494703309MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 2004017583 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ogden Psychological Services Llc30728445052

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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 Brian Dion Petrovich allows following entities to bill medicare on his behalf.
Entity NameOgden Psychological Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417506270
PECOS PAC ID: 3072844505
Enrollment ID: O20191014001986

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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 Brian Dion Petrovich 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 Brian Dion Petrovich, PSYD
1186 E 4600 S,
Ogden, UT 84403-4332

Ph: (801) 505-6545
Dr Brian Dion Petrovich, PSYD
1186 E 4600 S,
Ogden, UT 84403-4332

Ph: (801) 505-6545

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Psychologist in Ogden, UT

Dr. Jamie E Brass, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 3903 Harrison Blvd Ste 300, Ogden, UT 84403
Phone: 801-387-5600    
Dr. Ricky D. Hawks, ED.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 5677 S 1475 E, Suite 4a, Ogden, UT 84403
Phone: 801-621-6032    Fax: 801-409-0905
Tayler M Wayment, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 3903 Harrison Blvd Ste 300, Ogden, UT 84403
Phone: 801-387-5600    
Hilary Jane Jensen,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4387 Harrison Blvd Ste C4, Ogden, UT 84403
Phone: 801-387-4970    
Gary L Devries, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 5030 Harrison Blvd, Ogden, UT 84403
Phone: 801-387-5620    Fax: 801-475-1621
Trae Mendenhall,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 237 26th St, Ogden, UT 84401
Phone: 801-625-3700    

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