Dr Paul Sean Carbone, MD - Medicare Pediatric Medicine in Salt Lake City, UT

Dr Paul Sean Carbone, MD is a medicare enrolled "Pediatrics" physician in Salt Lake City, Utah. He went to Chicago College Of Medicine And Surgery and graduated in 1995 and has 29 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 50 N Medical Dr, General Pediatrics, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-3501.

Dr Paul Sean Carbone is licensed to practice in Utah (license number 61338711205) 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 1194796201.

Contact Information

Dr Paul Sean Carbone, MD
50 N Medical Dr, General Pediatrics,
Salt Lake City, UT 84132-0001
(801) 581-3501
(801) 581-3899

Map and Direction




Physician's Profile

Full NameDr Paul Sean Carbone
GenderMale
SpecialityPediatric Medicine
Experience29 Years
Location50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. 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 Paul Sean Carbone attended and graduated from Chicago College Of Medicine And Surgery in 1995
  NPI Data:
  • NPI Number: 1194796201
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 11/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668642745
  • Enrollment ID: I20110829000128

Medical Identifiers

Medical identifiers for Dr Paul Sean Carbone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194796201NPI-NPPES
D6737MedicaidUT
100510844MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A061998 (California)Secondary
208000000XPediatrics 61338711205 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Utah Behavioral Health Services9537483607151

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 Paul Sean Carbone allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Utah Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740688613
PECOS PAC ID: 9537483607
Enrollment ID: O20150120001118

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 Paul Sean Carbone 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 AddressPractice Location Address
Dr Paul Sean Carbone, MD
295 Chipeta Way, U Of U Som Dept Of Pediatrics,
Salt Lake City, UT 84132-0001

Ph: (801) 587-7400
Dr Paul Sean Carbone, MD
50 N Medical Dr, General Pediatrics,
Salt Lake City, UT 84132-0001

Ph: (801) 581-3501

Reviews and Comments


Pediatrics Doctors in Salt Lake City, UT

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Michelle Ploutz,
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Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113
Phone: 801-662-1000    Fax: 018-213-7778

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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