Leon Harvey Butler, PHD is a medicare enrolled "Psychologist - Counseling" provider in Roosevelt, Utah. His current practice location is
285 W 800 S, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 725-6300.
Leon Harvey Butler is licensed to practice in Utah (license number 5293736-2501) 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 1245549773.
Healthcare Provider's Profile
| Full Name | Leon Harvey Butler |
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| Gender | Male |
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| Speciality | Psychologist - Counseling |
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| Location | 285 W 800 S, Roosevelt, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245549773
- Provider Enumeration Date: 10/01/2010
- Last Update Date: 07/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 3173701836
- Enrollment ID: I20110628000324
Medical Identifiers
Medical identifiers for Leon Harvey Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245549773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC1900X | Psychologist - Counseling | 5293736-2501 (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. Leon Harvey Butler allows following entities to bill medicare on his behalf.
| 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: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079 |
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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. Leon Harvey Butler 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 |
|---|
Leon Harvey Butler, PHD
1140 W 500 S Ste 9,
Vernal, UT 84078-2912
Ph: (435) 789-6300 | Leon Harvey Butler, PHD
285 W 800 S,
Roosevelt, UT 84066-3707
Ph: (435) 725-6300 |
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