Preston David Kadleck, LMFT in Roosevelt, UT - Medicare Marriage & Family Therapist Provider

Preston David Kadleck, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Roosevelt, Utah. His current practice location is 285 W 800 S, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 725-6300.

Preston David Kadleck is licensed to practice in Utah (license number 10366581-3902) 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 1205363736.

Contact Information

	Preston David Kadleck, LMFT
	285 W 800 S, Roosevelt, UT 84066-3707
	(435) 725-6300
	(435) 725-6325

Map and Direction

Healthcare Provider's Profile

Full Name	Preston David Kadleck
Gender	Male
Speciality	Marriage & Family Therapist
Location	285 W 800 S, Roosevelt, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205363736
Provider Enumeration Date: 05/15/2017
Last Update Date: 07/18/2019

Medicare PECOS Information:

PECOS PAC ID: 5991140543
Enrollment ID: I20240305002393

Medical Identifiers

Medical identifiers for Preston David Kadleck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205363736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	10366581-3902 (Utah)	Primary
101Y00000X	Counselor	10366581-3904 (Utah)	Secondary
101Y00000X	Counselor	(* (Not Available))	Secondary
251S00000X	Community/behavioral Health	(Utah)	Secondary

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. Preston David Kadleck allows following entities to bill medicare on his behalf.

Entity Name	Uintah Basin Tri-county Mental Health And Substance Abuse Local Author
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891873121 PECOS PAC ID: 9133183072 Enrollment ID: O20041119000092

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. Preston David Kadleck 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
Preston David Kadleck, LMFT 1140 W 500 S Ste 9, Vernal, UT 84078-2912 Ph: (435) 725-6300	Preston David Kadleck, LMFT 285 W 800 S, Roosevelt, UT 84066-3707 Ph: (435) 725-6300

Reviews and Comments

Marriage & Family Therapist in Roosevelt, UT

Spencer G Donovan, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 255 South State Street Office 8, Roosevelt, UT 84066 Phone: 435-823-2367
Mr. Brent E Crane, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 1548, Roosevelt, UT 84066 Phone: 435-722-5656
Mr. Daniel Evan Colver, DBH, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 210 W 300 N Ste 350, Roosevelt, UT 84066 Phone: 435-247-4279
Robert A Nielson, MS, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4270 W 5625 N, Roosevelt, UT 84066 Phone: 435-353-4498 Fax: 435-353-4898

Preston David Kadleck, LMFT - Medicare Couples Therapy in Roosevelt, UT