Matthew Joseph Edrington, is a medicare enrolled "Social Worker - Clinical" provider in North Logan, Utah. His current practice location is
1515 N 400 E Ste 104, North Logan, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 755-6061.
Matthew Joseph Edrington is licensed to practice in Utah (license number 10834612-3501) 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 1669716924.
Healthcare Provider's Profile
| Full Name | Matthew Joseph Edrington |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1515 N 400 E Ste 104, North 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: 1669716924
- Provider Enumeration Date: 11/26/2012
- Last Update Date: 11/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072924299
- Enrollment ID: I20201119001308
Medical Identifiers
Medical identifiers for Matthew Joseph Edrington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669716924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 10834612-3501 (Utah) | Secondary |
| 253J00000X | Foster Care Agency | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10834612-3501 (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. Matthew Joseph Edrington allows following entities to bill medicare on his behalf.
| Entity Name | Central Utah Counseling Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1639185424
PECOS PAC ID: 6305743618
Enrollment ID: O20031215000998 |
|---|
| Entity Name | Bear Lake Community Health Center, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1689754475
PECOS PAC ID: 9032020037
Enrollment ID: O20040110000158 |
|---|
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. Matthew Joseph Edrington 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 |
|---|
Matthew Joseph Edrington,
517 W 100 N Ste 210,
Providence, UT 84332-9826
Ph: (435) 755-6061 | Matthew Joseph Edrington,
1515 N 400 E Ste 104,
North Logan, UT 84341-7595
Ph: (435) 755-6061 |
Reviews and Comments