Benjamin Barret Haslam, is a medicare enrolled "Marriage & Family Therapist" provider in Virgin, Utah. His current practice location is
1055 E Sr 9, Virgin, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 619-4170.
Benjamin Barret Haslam is licensed to practice in Utah (license number 10444176-3902) 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 1659914406.
Healthcare Provider's Profile
| Full Name | Benjamin Barret Haslam |
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| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 1055 E Sr 9, Virgin, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659914406
- Provider Enumeration Date: 10/24/2019
- Last Update Date: 10/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 8820524127
- Enrollment ID: I20241210003470
Medical Identifiers
Medical identifiers for Benjamin Barret Haslam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659914406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 10444176-3902 (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. Benjamin Barret Haslam allows following entities to bill medicare on his behalf.
| Entity Name | Center For Couples & Families |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306364302 PECOS PAC ID: 8224369897 Enrollment ID: O20191011002184 |
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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. Benjamin Barret Haslam 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 |
Benjamin Barret Haslam, 736 S 180 W, Hurricane, UT 84737-2317 Ph: (435) 619-4170 | Benjamin Barret Haslam, 1055 E Sr 9, Virgin, UT 84779-5025 Ph: (435) 619-4170 |
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