Dr David Ray Dedrickson, MD in Farmington, UT

Dr David Ray Dedrickson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Farmington, Utah. His current practice location is 1433 N 1075 W, Ste 104, Farmington, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 298-1300.

Dr David Ray Dedrickson is licensed to practice in Utah (license number 184965-1205) 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 1144222779.

Contact Information

	Dr David Ray Dedrickson, MD
	1433 N 1075 W, Ste 104, Farmington, UT 84025-2746
	(801) 298-1300
	(801) 296-6199

Map and Direction

Physician's Profile

Full Name	Dr David Ray Dedrickson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1433 N 1075 W, Farmington, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144222779
Provider Enumeration Date: 08/12/2005
Last Update Date: 02/19/2019

Medicare PECOS Information:

PECOS PAC ID: 6406813757
Enrollment ID: I20041217000627

Medical Identifiers

Medical identifiers for Dr David Ray Dedrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144222779	NPI	-	NPPES
10536	Medicaid	UT
120727000	Medicaid	WY
922890	Medicaid	AZ
P00199660	Other	UT	RR MEDICARE
P00651526	Other	UT	RR MEDICARE
100505581	Medicaid	NV
807116200	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	184965-1205 (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. Dr David Ray Dedrickson allows following entities to bill medicare on his behalf.

Entity Name	Utah Imaging Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629076229 PECOS PAC ID: 1355394537 Enrollment ID: O20050228000845

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 David Ray Dedrickson 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 David Ray Dedrickson, MD Po Box 25488, Salt Lake City, UT 84125-0488 Ph: (800) 475-3698	Dr David Ray Dedrickson, MD 1433 N 1075 W, Ste 104, Farmington, UT 84025-2746 Ph: (801) 298-1300

Reviews and Comments

Radiology Doctors in Farmington, UT

Dr. Cole Joseph Panushka, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199
Dr. Christopher J. Parr, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199
Dr. Jason Anthony Kirkham, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199
Colin David Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300
Dr. Trenton Mcneil Wright, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199
Dr. Craig Michael Carpenter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199

Dr David Ray Dedrickson, MD - Medicare Radiology in Farmington, UT