Dr Keagan Tice Smallwood, DC in South Jordan, UT - Medicare Chiropractor Provider

Dr Keagan Tice Smallwood, DC is a medicare enrolled "Chiropractor" provider in South Jordan, Utah. His current practice location is 912 W Baxter Dr Ste 130, South Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 308-4355.

Dr Keagan Tice Smallwood is licensed to practice in Utah (license number 123902991202) 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 1639785173.

Contact Information

	Dr Keagan Tice Smallwood, DC
	912 W Baxter Dr Ste 130, South Jordan, UT 84095-5876
	(385) 308-4355
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keagan Tice Smallwood
Gender	Male
Speciality	Chiropractor
Location	912 W Baxter Dr Ste 130, South Jordan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639785173
Provider Enumeration Date: 09/21/2020
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4880076744
Enrollment ID: I20220809002598

Medical Identifiers

Medical identifiers for Dr Keagan Tice Smallwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639785173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	14500 (Texas)	Secondary
111N00000X	Chiropractor	123902991202 (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 Keagan Tice Smallwood allows following entities to bill medicare on his behalf.

Provider Name	Nobility Medical Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730639113 PECOS PAC ID: 6002196300 Enrollment ID: O20161202000409

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 Keagan Tice Smallwood 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 Keagan Tice Smallwood, DC 912 W Baxter Dr Ste 130, South Jordan, UT 84095-5876 Ph: (853) 084-3553	Dr Keagan Tice Smallwood, DC 912 W Baxter Dr Ste 130, South Jordan, UT 84095-5876 Ph: (385) 308-4355

Reviews and Comments

Chiropractor in South Jordan, UT

Nicholas Takis, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 10459 South 1300 West, Suite 203, South Jordan, UT 84095 Phone: 385-308-8169
Dr. Janson William Kemp, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 968 W South Jordan Pkwy, Ste B, South Jordan, UT 84095 Phone: 801-302-1362
Dr. Donald Robert Miller, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 10459 South 1300 West, Suite 203, South Jordan, UT 84095 Phone: 385-308-8169
J Brinton Andersen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10965 S River Front Pkwy, South Jordan, UT 84095 Phone: 801-380-4234
Frogley Health And Wellness Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10382 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-816-0332
Dr. Joseph Ross Stockwell, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10714 S Jordan Gtwy, Suite # 220, South Jordan, UT 84095 Phone: 801-523-1890 Fax: 801-523-1495
Eric J Berube, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10456 S Redwood Rd, South Jordan, UT 84095 Phone: 801-446-5100

Dr Keagan Tice Smallwood, DC - Medicare Chiropractor in South Jordan, UT