Mr Dorian J Carroll, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Murray, Utah. His current practice location is
6095 Fashion Blvd Ste 100, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 263-8700.
Mr Dorian J Carroll is licensed to practice in Utah (license number 5182589-1206) 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 1295989630.
Physician's Profile
| Full Name | Mr Dorian J Carroll |
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| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
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| Location | 6095 Fashion Blvd Ste 100, Murray, 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: 1295989630
- Provider Enumeration Date: 11/12/2008
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153549001
- Enrollment ID: I20140905002097
Medical Identifiers
Medical identifiers for Mr Dorian J Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295989630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207K00000X | Allergy & Immunology | 5182589-1206 (Utah) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 5182589-1206 (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. Mr Dorian J Carroll allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
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| Entity Name | University of Utah Surgical Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174928139 PECOS PAC ID: 6002130481 Enrollment ID: O20150112002158 |
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| Entity Name | University of Utah Adult Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
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| Entity Name | Signify Health LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062 |
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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. Mr Dorian J Carroll 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 |
Mr Dorian J Carroll, PA-C 6095 Fashion Blvd Ste 100, Murray, UT 84107-7377 Ph: (801) 263-8700 | Mr Dorian J Carroll, PA-C 6095 Fashion Blvd Ste 100, Murray, UT 84107-7377 Ph: (801) 263-8700 |
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