Morgen Lee Dalebout, OTR/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Cedar City, Utah. His current practice location is
1333 N Main St Ste 6, Cedar City, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 868-6200.
Morgen Lee Dalebout is licensed to practice in Utah (license number 12677476-4201) 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 1124559877.
Healthcare Provider's Profile
| Full Name | Morgen Lee Dalebout |
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| Gender | Male |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 1333 N Main St Ste 6, Cedar City, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124559877
- Provider Enumeration Date: 03/24/2017
- Last Update Date: 03/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426408204
- Enrollment ID: I20231219003416
Medical Identifiers
Medical identifiers for Morgen Lee Dalebout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124559877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | 12677476-4201 (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. Morgen Lee Dalebout allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1033822085
PECOS PAC ID: 1850209420
Enrollment ID: O20230627000064 |
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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. Morgen Lee Dalebout 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 |
|---|
Morgen Lee Dalebout, OTR/L
326 E 2100 North Cir,
Cedar City, UT 84721-9385
Ph: (435) 327-0463 | Morgen Lee Dalebout, OTR/L
1333 N Main St Ste 6,
Cedar City, UT 84721-9314
Ph: (435) 868-6200 |
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