Dr Russell Douglas Sorenson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Richfield, Utah. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Mountain Utah Family Medicine and his current practice location is
164 N Main Street (rear Entrance), Richfield, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 287-4250.
Dr Russell Douglas Sorenson is licensed to practice in Utah (license number 11876179-2501) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1215298559.
Healthcare Provider's Profile
| Full Name | Dr Russell Douglas Sorenson |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 164 N Main Street (rear Entrance), Richfield, Utah |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Russell Douglas Sorenson graduated from medical school in 2020
NPI Data:
- NPI Number: 1215298559
- Provider Enumeration Date: 06/04/2012
- Last Update Date: 08/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 1759790348
- Enrollment ID: I20210512000304
Medical Identifiers
Medical identifiers for Dr Russell Douglas Sorenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215298559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 11876179-2501 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mountain Utah Family Medicine | 9830276112 | 6 |
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 Russell Douglas Sorenson allows following entities to bill medicare on his behalf.
| Entity Name | Mountain Utah Family Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659402774 PECOS PAC ID: 9830276112 Enrollment ID: O20080410000646 |
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| 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: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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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. Dr Russell Douglas Sorenson 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 Russell Douglas Sorenson, PHD 465 N 500 E, Richfield, UT 84701-2225 Ph: (435) 287-4250 | Dr Russell Douglas Sorenson, PHD 164 N Main Street (rear Entrance), Richfield, UT 84701 Ph: (435) 287-4250 |
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