Dr Scott Fidler, PSYD - Medicare Psychologist in Draper, UT

Dr Scott Fidler, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Draper, Utah. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Doctor On Demand Professionals Of California and his current practice location is 12176 S 1000 E Ste 8f, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 619-3569.

Dr Scott Fidler is licensed to practice in Utah (license number 5338272-2501) 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 1164589669.

Contact Information

Dr Scott Fidler, PSYD
12176 S 1000 E Ste 8f,
Draper, UT 84020-9734
(801) 619-3569
(801) 576-7540

Map and Direction




Healthcare Provider's Profile

Full NameDr Scott Fidler
GenderMale
SpecialityClinical Psychologist
Experience22 Years
Location12176 S 1000 E Ste 8f, Draper, Utah
Accepts Medicare AssignmentsMay 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 Scott Fidler graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1164589669
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 01/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0941306054
  • Enrollment ID: I20200929002680

Medical Identifiers

Medical identifiers for Dr Scott Fidler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164589669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 5338272-2501 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Doctor On Demand Professionals Of California640616153822

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 Scott Fidler allows following entities to bill medicare on his behalf.
Entity NameDoctor On Demand Professionals Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346658614
PECOS PAC ID: 6406161538
Enrollment ID: O20180216001603

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 Scott Fidler 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 AddressPractice Location Address
Dr Scott Fidler, PSYD
12176 S 1000 E Ste 8f,
Draper, UT 84020-9734

Ph: (801) 619-3569
Dr Scott Fidler, PSYD
12176 S 1000 E Ste 8f,
Draper, UT 84020-9734

Ph: (801) 619-3569

Reviews and Comments


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