Richard M Rosenthal, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Provo, Utah. His current practice location is
3585 N University Ave Ste 150, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 356-6100.
Richard M Rosenthal is licensed to practice in Utah (license number 180329-1205) 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 1073512745.
Physician's Profile
Full Name | Richard M Rosenthal |
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Gender | Male |
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Speciality | Pain Medicine - Pain Medicine |
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Location | 3585 N University Ave Ste 150, Provo, 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: 1073512745
- Provider Enumeration Date: 07/15/2005
- Last Update Date: 09/06/2011
Medicare PECOS Information:
- PECOS PAC ID: 3476459595
- Enrollment ID: I20031210000298
Medical Identifiers
Medical identifiers for Richard M Rosenthal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073512745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0000X | Pain Medicine - Pain Medicine | 180329-1205 (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. Richard M Rosenthal allows following entities to bill medicare on his behalf.
Entity Name | Ut Center For Pain Management And Research, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902805948 PECOS PAC ID: 4587560693 Enrollment ID: O20031210000117 |
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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. Richard M Rosenthal 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 |
Richard M Rosenthal, MD 3585 N University Ave Ste 150, Provo, UT 84604-6630 Ph: (801) 356-6100 | Richard M Rosenthal, MD 3585 N University Ave Ste 150, Provo, UT 84604-6630 Ph: (801) 356-6100 |
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