Mitchell R Udy, in Logan, UT - Medicare Audiologist Provider

Mitchell R Udy, is a medicare enrolled "Audiologist" provider in Logan, Utah. His current practice location is 274 N Main St, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 753-1600.

Mitchell R Udy is licensed to practice in Utah (license number 5774881-4101) 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 1134174543.

Contact Information

	Mitchell R Udy,
	274 N Main St, Logan, UT 84321-3915
	(435) 753-1600
	(435) 753-9521

Map and Direction

Healthcare Provider's Profile

Full Name	Mitchell R Udy
Gender	Male
Speciality	Audiologist
Location	274 N Main St, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134174543
Provider Enumeration Date: 05/23/2006
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 7113979766
Enrollment ID: I20050211000517

Medical Identifiers

Medical identifiers for Mitchell R Udy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134174543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	5774881-4101 (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. Mitchell R Udy allows following entities to bill medicare on his behalf.

Provider Name	University Of Utah Adult Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Mitchell R Udy 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 Address	Practice Location Address
Mitchell R Udy, 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600	Mitchell R Udy, 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600

Reviews and Comments

Audiologist in Logan, UT

Dr. Jeffery Blythe Larsen, PH.D., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Old Main Hl, Comd Department, Umc 1000, Logan, UT 84322 Phone: 435-797-1390
Dr. Heather Jo Jensen, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: Usu Hearing Clinic, 1000 Old Main Hill, Logan, UT 84322 Phone: 435-797-1390 Fax: 435-797-0221
Tiffany Shelton, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1000 Old Main Hl, Logan, UT 84322 Phone: 435-797-1346 Fax: 435-797-0221
Andrew Leon Cobabe, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1950 Fax: 435-792-1615
Dr. Andrea Suzette Page, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6410 Old Main Hl, Logan, UT 84322 Phone: 435-797-1374
Robert Louis Bannatyne Stevenson, CLINICAL AUDIOLOGIST Audiologist Medicare: Not Enrolled in Medicare Practice Location: 293 S Main St, Logan, UT 84321 Phone: 435-753-4133 Fax: 435-753-7364

Mitchell R Udy, - Medicare Audiologist in Logan, UT