Dr Carter Timothy Bruett, DDS in Salt Lake City, UT

Dr Carter Timothy Bruett, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Pathology" provider in Salt Lake City, Utah. His current practice location is 530 S Wakara Way, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 631-5779.

Dr Carter Timothy Bruett is licensed to practice in Utah (license number 12317468-9923) 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 1578149001.

Contact Information

	Dr Carter Timothy Bruett, DDS
	530 S Wakara Way, Salt Lake City, UT 84108-1213
	(801) 631-5779
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Carter Timothy Bruett
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Pathology
Location	530 S Wakara Way, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578149001
Provider Enumeration Date: 03/23/2021
Last Update Date: 03/09/2025

Medicare PECOS Information:

PECOS PAC ID: 4688110174
Enrollment ID: I20240719003290

Medical Identifiers

Medical identifiers for Dr Carter Timothy Bruett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578149001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12317468-9923 (Utah)	Secondary
1223P0106X	Dentist - Oral And Maxillofacial Pathology	12317468-9923 (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. Dr Carter Timothy Bruett allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Community Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Dr Carter Timothy Bruett 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
Dr Carter Timothy Bruett, DDS 530 S Wakara Way, Salt Lake City, UT 84108-1213 Ph: (801) 215-9617	Dr Carter Timothy Bruett, DDS 530 S Wakara Way, Salt Lake City, UT 84108-1213 Ph: (801) 631-5779

Reviews and Comments

Dentist in Salt Lake City, UT

Dr. Adam Richard Van Leeuwen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6936 South 2475 East, 201, Salt Lake City, UT 84121 Phone: 801-943-1612 Fax: 801-942-6008
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Dr. Oscar Daniel Bluth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 S 1000 E, Suite L-2 West, Salt Lake City, UT 84102 Phone: 801-370-0050
Dr. Michael Reed Slater, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-584-1206
Nielson Kirk Ashton, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2180 E 4500 S Ste 250, Salt Lake City, UT 84117 Phone: 801-272-8609

Dr Carter Timothy Bruett, DDS - Medicare Dentist in Salt Lake City, UT