Senior Charity Care Foundation is a medicare enrolled "Dentist - Dental Public Health" provider in West Valley City, Utah. Their current practice location is
1555 S 2200 W, Ste B, West Valley City, Utah. You can reach out to their office (for appointments etc.) via phone at
(801) 515-0480.
Senior Charity Care Foundation is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Senior Charity Care Foundation
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215403456.
Healthcare Provider's Profile
| Full Name | Senior Charity Care Foundation |
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| Type | Facility |
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| Speciality | Dentist - Dental Public Health |
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| Location | 1555 S 2200 W, West Valley City, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215403456
- Provider Enumeration Date: 10/15/2018
- Last Update Date: 06/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092123547
- Enrollment ID: O20210421001780
Medical Identifiers
Medical identifiers for Senior Charity Care Foundation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215403456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Senior Charity Care Foundation acts as a billing entity for following providers:
| Provider Name | Keith J. Castleton |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1730168071
PECOS PAC ID: 0840345260
Enrollment ID: I20111022000072 |
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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. Senior Charity Care Foundation 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 |
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Senior Charity Care Foundation
721 N Main St # 106,
Layton, UT 84041-2231
Ph: (801) 515-0480 | Senior Charity Care Foundation
1555 S 2200 W, Ste B,
West Valley City, UT 84119-8411
Ph: (801) 515-0480 |
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