Brian Pulsipher, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Midvale, Utah. His current practice location is
613 E Fort Union Blvd Ste 104, Midvale, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 984-1717.
Brian Pulsipher is licensed to practice in Utah (license number ) 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 1891153102.
Healthcare Provider's Profile
| Full Name | Brian Pulsipher |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 613 E Fort Union Blvd Ste 104, Midvale, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1891153102
- Provider Enumeration Date: 02/01/2016
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294278081
- Enrollment ID: I20240621000542
Medical Identifiers
Medical identifiers for Brian Pulsipher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891153102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 10382594-3501 (Utah) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (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. Brian Pulsipher allows following entities to bill medicare on his behalf.
| Entity Name | Patrick Green Md Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1518256650
PECOS PAC ID: 6204000102
Enrollment ID: O20111110000358 |
|---|
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. Brian Pulsipher 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 |
|---|
Brian Pulsipher, LCSW
613 E Fort Union Blvd Ste 104,
Midvale, UT 84047-5531
Ph: (801) 984-1717 | Brian Pulsipher, LCSW
613 E Fort Union Blvd Ste 104,
Midvale, UT 84047-5531
Ph: (801) 984-1717 |
Reviews and Comments