Dr Michael Scott Connolly, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Riverton, Utah. His current practice location is
12391 S 4000 W, Riverton, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 302-1700.
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.
Physician's Profile
Full Name | Dr Michael Scott Connolly |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 12391 S 4000 W, Riverton, Utah |
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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: 05/13/2013
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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
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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 12391 S 4000 W, Riverton, UT 84096-7012 Ph: (801) 302-1700 | Dr Michael Scott Connolly, MD 12391 S 4000 W, Riverton, UT 84096-7012 Ph: (801) 302-1700 |
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