Dr Douglas Gavin Kondo, MD in Salt Lake City, UT

Dr Douglas Gavin Kondo, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Salt Lake City, Utah. He went to University Of Utah School Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice University Of Utah Behavioral Health Services and his current practice location is 501 S Chipeta Way, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 585-1575.

Dr Douglas Gavin Kondo is licensed to practice in Utah (license number 6313601-1205) 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 1083703284.

Contact Information

	Dr Douglas Gavin Kondo, MD
	501 S Chipeta Way, Salt Lake City, UT 84108-1222
	(801) 585-1575
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Douglas Gavin Kondo
Gender	Male
Speciality	Pediatric Medicine
Experience	27 Years
Location	501 S Chipeta Way, 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:

Dr Douglas Gavin Kondo attended and graduated from University Of Utah School Of Medicine in 1999

NPI Data:

NPI Number: 1083703284
Provider Enumeration Date: 10/12/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9739142332
Enrollment ID: I20070309000269

Medical Identifiers

Medical identifiers for Dr Douglas Gavin Kondo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083703284	NPI	-	NPPES
11725447	Other	UT	CAQH NUMBER
6313601-1205	Other	UT	UTAH MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	6313601-1205 (Utah)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	6313601-1205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Behavioral Health Services	9537483607	167

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 Douglas Gavin Kondo allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Acuity Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392

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

Entity Name	University Of Utah Pediatric Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309

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 Douglas Gavin Kondo 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 Douglas Gavin Kondo, MD Po Box 413076, Salt Lake City, UT 84141-3076 Ph: (801) 213-3900	Dr Douglas Gavin Kondo, MD 501 S Chipeta Way, Salt Lake City, UT 84108-1222 Ph: (801) 585-1575

Reviews and Comments

Psychiatry & Neurology Doctors in Salt Lake City, UT

Dr. Eric Thayne Monson, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096
Dr. Gerald Martin Lazar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2005 E 2700 S, Suite 180, Salt Lake City, UT 84109 Phone: 801-746-2297 Fax: 801-322-3890
Leah M. Fortson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Huntsman Mental Health Institute, 501 Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096
Christopher R. Sweeney, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1336 S 1100 E, Salt Lake City, UT 84105 Phone: 385-246-2522 Fax: 801-810-1343
Norman L. Foster, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-6387
Dr. Amy Gallop Weagley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-2121
Lawrence H Climo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Comphealth 4021 South 700 East, Suite 300, Salt Lake City, UT 84107 Phone: 800-453-3030

Dr Douglas Gavin Kondo, MD - Medicare Pediatric Medicine in Salt Lake City, UT