Conrad B Addison, MD in Salt Lake City, UT

Conrad B Addison, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Salt Lake City, Utah. He went to University Of Washington School Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Sleep Medicine. He is a member of the group practice Billings Clinic, Billings Clinic and his current practice location is 30 N 1900 E Rm 4c104, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 408-1618.

Conrad B Addison is licensed to practice in Utah (license number 12229852-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194228916.

Contact Information

	Conrad B Addison, MD
	30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002
	(801) 408-1618
	Not Available

Map and Direction

Physician's Profile

Full Name	Conrad B Addison
Gender	Male
Speciality	Sleep Medicine
Experience	7 Years
Location	30 N 1900 E Rm 4c104, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Conrad B Addison attended and graduated from University Of Washington School Of Medicine in 2018

NPI Data:

NPI Number: 1194228916
Provider Enumeration Date: 03/18/2018
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 2365797743
Enrollment ID: I20220715001597

Medical Identifiers

Medical identifiers for Conrad B Addison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194228916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MED-RES-LIC-67459 (Montana)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	12229852-1205 (Utah)	Secondary
2080P0214X	Pediatrics - Pediatric Pulmonology	12229852-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Billings Clinic	Billings, MT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Billings Clinic	6002993516	685
Billings Clinic	6002993516	685

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. Conrad B Addison allows following entities to bill medicare on his behalf.

Entity Name	Billings Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212

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. Conrad B Addison 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
Conrad B Addison, MD 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 Ph: (801) 408-1618	Conrad B Addison, MD 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 Ph: (801) 408-1618

Reviews and Comments

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Conrad B Addison, MD - Medicare Sleep Medicine in Salt Lake City, UT