Dr Ross Brigham Dastrup, MD in Salt Lake City, UT

Dr Ross Brigham Dastrup, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. His current practice location is 1200 E 3900 S, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 268-7975.

Dr Ross Brigham Dastrup is licensed to practice in Utah (license number 7536235-1205) 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 1902023773.

Contact Information

	Dr Ross Brigham Dastrup, MD
	1200 E 3900 S, Salt Lake City, UT 84124-1300
	(801) 268-7975
	(801) 270-3324

Map and Direction

Physician's Profile

Full Name	Dr Ross Brigham Dastrup
Gender	Male
Speciality	Emergency Medicine
Location	1200 E 3900 S, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902023773
Provider Enumeration Date: 04/20/2007
Last Update Date: 10/01/2010

Medicare PECOS Information:

PECOS PAC ID: 3375667694
Enrollment ID: I20100824000172

Medical Identifiers

Medical identifiers for Dr Ross Brigham Dastrup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902023773	NPI	-	NPPES
1902023773	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	7536235-1205 (Utah)	Primary
207P00000X	Emergency Medicine	PENDING (New Mexico)	Secondary

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 Ross Brigham Dastrup allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Integrated Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013

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 Ross Brigham Dastrup 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 Ross Brigham Dastrup, MD Po Box 95970, South Jordan, UT 84095-0970 Ph: (801) 352-9500	Dr Ross Brigham Dastrup, MD 1200 E 3900 S, Salt Lake City, UT 84124-1300 Ph: (801) 268-7975

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Joshua A. Berko, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Dr Ross Brigham Dastrup, MD - Medicare Emergency Medicine in Salt Lake City, UT