Dr Michael Scott Connolly, MD in Draper, UT - Medicare Psychiatry & Neurology

Dr Michael Scott Connolly, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Draper, Utah. His current practice location is 11724 S State St, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 965-3600.

Dr Michael Scott Connolly is licensed to practice in Utah (license number 6150978-1205) 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 1003014374.

Contact Information

	Dr Michael Scott Connolly, MD
	11724 S State St, Draper, UT 84020-7163
	(801) 965-3600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael Scott Connolly
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	11724 S State St, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003014374
Provider Enumeration Date: 07/06/2007
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5698844058
Enrollment ID: I20080527000583

Medical Identifiers

Medical identifiers for Dr Michael Scott Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003014374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	6150978-1205 (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 Michael Scott Connolly allows following entities to bill medicare on his behalf.

Entity Name	Granger Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159

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 Michael Scott Connolly 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 Michael Scott Connolly, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600	Dr Michael Scott Connolly, MD 11724 S State St, Draper, UT 84020-7163 Ph: (801) 965-3600

Reviews and Comments

Psychiatry & Neurology Doctors in Draper, UT

Daniel Inouye, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12221 S 900 E, Draper, UT 84020 Phone: 801-592-2002
Samuel Jones Llavina, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12222 S 1000 E Ste 3, Draper, UT 84020 Phone: 801-987-3592
Trent C. Holmberg, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12481 S Fort St Ste 275, Draper, UT 84020 Phone: 801-432-2077 Fax: 801-432-2079
Dr. Cheronne Danette Anderson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12595 S Minuteman Dr, Draper, UT 84020 Phone: 801-882-2618
Sheena Margaret Ray, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11616 S State St Ste 1503, Draper, UT 84020 Phone: 801-581-4096
Dr. Sachin M Rajhans, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12176 S 1000 E Ste 8b, Draper, UT 84020 Phone: 801-993-2586 Fax: 385-222-7826

Dr Michael Scott Connolly, MD - Medicare Psychiatry & Neurology in Draper, UT