Peter Bryan Conder, LCMHC in South Salt Lake, UT

Peter Bryan Conder, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in South Salt Lake, Utah. His current practice location is 2265 S State St Apt 272, South Salt Lake, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 720-8338.

Peter Bryan Conder is licensed to practice in * (Not Available) (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 1710367610.

Contact Information

	Peter Bryan Conder, LCMHC
	2265 S State St Apt 272, South Salt Lake, UT 84115-1405
	(435) 720-8338
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Peter Bryan Conder
Gender	Male
Speciality	Counselor - Mental Health
Location	2265 S State St Apt 272, South Salt Lake, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710367610
Provider Enumeration Date: 06/05/2015
Last Update Date: 05/11/2020

Medicare PECOS Information:

PECOS PAC ID: 0941648588
Enrollment ID: I20240402002877

Medical Identifiers

Medical identifiers for Peter Bryan Conder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710367610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Peter Bryan Conder allows following entities to bill medicare on his behalf.

Entity Name	Assauge
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053084434 PECOS PAC ID: 5597103135 Enrollment ID: O20240402002813

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. Peter Bryan Conder 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
Peter Bryan Conder, LCMHC 2265 S State St Apt 272, South Salt Lake, UT 84115-1405 Ph: (435) 720-8338	Peter Bryan Conder, LCMHC 2265 S State St Apt 272, South Salt Lake, UT 84115-1405 Ph: (435) 720-8338

Reviews and Comments

Counselor in South Salt Lake, UT

Stephanie Sonntag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846
George (trey) Tanner Nicholson Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 177 W Price Ave, South Salt Lake, UT 84115 Phone: 385-467-4548
Amy Miner, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 965 W Little River Way Unit 3, South Salt Lake, UT 84119 Phone: 801-915-2898
Caprice Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846
Diana Lynn Lehwalder, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-2118
Tamara Middleton, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3195 S Main St Ste 180, South Salt Lake, UT 84115 Phone: 801-983-5540 Fax: 801-983-5542
Chelsea Travis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3502 S 335 E, South Salt Lake, UT 84115 Phone: 801-699-4359

Peter Bryan Conder, LCMHC - Medicare Counselor in South Salt Lake, UT