Dr Julia Connelly, PHD in Salt Lake City, UT - Medicare Psychologist Provider

Dr Julia Connelly, PHD is a medicare enrolled "Psychologist" provider in Salt Lake City, Utah. Her current practice location is 1537 S Main St, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 386-9732.

Dr Julia Connelly is licensed to practice in Utah (license number 6307968-2501) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396915609.

Contact Information

	Dr Julia Connelly, PHD
	1537 S Main St, Salt Lake City, UT 84115-5315
	(801) 386-9732
	(801) 906-8642

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Julia Connelly
Gender	Female
Speciality	Psychologist
Location	1537 S Main St, 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: 1396915609
Provider Enumeration Date: 03/04/2008
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 8426226838
Enrollment ID: I20110728000625

Medical Identifiers

Medical identifiers for Dr Julia Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396915609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6307968-2501 (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. Dr Julia Connelly allows following entities to bill medicare on her behalf.

Entity Name	Uni Behavioral Health Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720140114 PECOS PAC ID: 5294047114 Enrollment ID: O20150707002039

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 Julia Connelly 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 Julia Connelly, PHD 1537 S Main St, Salt Lake City, UT 84115-5315 Ph: (801) 386-9732	Dr Julia Connelly, PHD 1537 S Main St, Salt Lake City, UT 84115-5315 Ph: (801) 386-9732

Reviews and Comments

Psychologist in Salt Lake City, UT

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Bruce Dennis Etringer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S Ste 250, Salt Lake City, UT 84106 Phone: 801-467-8890 Fax: 801-484-3862
Dr. Ann H Tyler, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4505 So Wasatch Blvd, Suite #380, Salt Lake City, UT 84124 Phone: 801-273-7835

Dr Julia Connelly, PHD - Medicare Psychologist in Salt Lake City, UT