Charles G Pribble, MD in Salt Lake City, UT

Charles G Pribble, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Salt Lake City, Utah. His current practice location is 100 N Medical Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 993-9551.

Charles G Pribble is licensed to practice in Utah (license number 173715-1205) 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 1245349042.

Contact Information

	Charles G Pribble, MD
	100 N Medical Dr, Salt Lake City, UT 84113-1103
	(801) 993-9551
	(801) 733-5872

Map and Direction

Physician's Profile

Full Name	Charles G Pribble
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	100 N Medical Dr, 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: 1245349042
Provider Enumeration Date: 08/29/2006
Last Update Date: 12/12/2024

Medicare PECOS Information:

PECOS PAC ID: 2961445358
Enrollment ID: I20050607000421

Medical Identifiers

Medical identifiers for Charles G Pribble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245349042	NPI	-	NPPES
002085560	Other	UT	FIRST HEALTH
174281	Other	UT	DESERET MUTUAL
105131800	Medicaid	WY
870280408PR2	Other	UT	EDUCATORS MUTUAL
29927	Other	UT	PEHP
PR00809	Other	UT	MOLINA
QM0000049539	Other	UT	ALTIUS
107006307101	Other	UT	IHC
2000040	Other	UT	UNITED HEALTHCARE
401765	Medicaid	MT
002967300	Medicaid	ID
8920	Other	UT	HEALTHY U

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	173715-1205 (Utah)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	173715-1205 (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. Charles G Pribble allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Anesthesiologists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417965799 PECOS PAC ID: 4385618578 Enrollment ID: O20040824000152

Entity Name	University Of Utah Pediatric Acuity Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869

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. Charles G Pribble 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
Charles G Pribble, MD 100 N Medical Dr, Salt Lake City, UT 84113-1103 Ph: () -	Charles G Pribble, MD 100 N Medical Dr, Salt Lake City, UT 84113-1103 Ph: (801) 993-9551

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
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Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588

Charles G Pribble, MD - Medicare Pediatrics in Salt Lake City, UT