Dr Bradford Kelly Ence, MD is a medicare enrolled "Otolaryngology" physician in Payson, Utah. He went to Saint Louis University School Of Medicine and graduated in 1985 and has 41 years of diverse experience with area of expertise as Otolaryngology. His current practice location is
39 Professional Way, Suite 1, Payson, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 465-4805.
Dr Bradford Kelly Ence is licensed to practice in Utah (license number 1779331205) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1588766299.
Physician's Profile
| Full Name | Dr Bradford Kelly Ence |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 41 Years |
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| Location | 39 Professional Way, Payson, Utah |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bradford Kelly Ence attended and graduated from Saint Louis University School Of Medicine in 1985
NPI Data:
- NPI Number: 1588766299
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 12/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224078696
- Enrollment ID: I20250711001258
Medical Identifiers
Medical identifiers for Dr Bradford Kelly Ence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588766299 | NPI | - | NPPES |
| 233117 | Other | UT | ALTIUS |
| 169404 | Other | UT | DMBA |
| 870281028BKE | Other | UT | EMIA |
| 10-00159 | Other | UT | UNITED HEALTHCARE |
| 107006732105 | Other | UT | IHC |
| 81446 | Other | UT | PEHP |
| P00207619 | Other | UT | PALMETTO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 72827 (Minnesota) | Secondary |
| 207Y00000X | Otolaryngology | 1779331205 (Utah) | Primary |
Medical Facilities Affiliation
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 Bradford Kelly Ence 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 Bradford Kelly Ence, MD
1055 N 500 W, Credentialing Department,
Provo, UT 84604-3305
Ph: (801) 354-8225 | Dr Bradford Kelly Ence, MD
39 Professional Way, Suite 1,
Payson, UT 84651-1675
Ph: (801) 465-4805 |
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