Integrated Wellness Utah - Medicare in South Jordan, UT

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Integrated Wellness Utah is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" provider in South Jordan, Utah. Their current practice location is 10376 S Jordan Gtwy, South Jordan, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 816-0332.

Integrated Wellness Utah is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Integrated Wellness Utah is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1629400429.

Contact Information

Integrated Wellness Utah
10376 S Jordan Gtwy,
South Jordan, UT 84095-3954
(801) 816-0332
(801) 816-0331

Map and Direction




Healthcare Provider's Profile

Full NameIntegrated Wellness Utah
TypeFacility
SpecialityPain Medicine - Interventional Pain Medicine
Location10376 S Jordan Gtwy, South Jordan, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629400429
  • Provider Enumeration Date: 08/02/2013
  • Last Update Date: 04/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7517194012
  • Enrollment ID: O20131206001733

Medical Identifiers

Medical identifiers for Integrated Wellness Utah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629400429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NI0900XChiropractor - Internist (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Integrated Wellness Utah acts as a billing entity for following providers:
Provider NameKristina Michelle Reed
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1407057953
PECOS PAC ID: 8426158320
Enrollment ID: I20070706000297
Provider NameQamar R Khan
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1407026420
PECOS PAC ID: 4082750294
Enrollment ID: I20091001000216
Provider NameScott H Frogley
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1790825388
PECOS PAC ID: 9931005386
Enrollment ID: I20110225000043
Provider NameKatie A Toledo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881884252
PECOS PAC ID: 7719072883
Enrollment ID: I20110609000159
Provider NameCaleb J Lorenc
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1801140900
PECOS PAC ID: 6507004439
Enrollment ID: I20130604000535
Provider NameStephanie L Dupree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487931416
PECOS PAC ID: 0345409025
Enrollment ID: I20150924003347
Provider NameLauren Lightfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104296623
PECOS PAC ID: 1355641002
Enrollment ID: I20151201003315

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. Integrated Wellness Utah 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
Integrated Wellness Utah
10376 S Jordan Gtwy,
South Jordan, UT 84095-3954

Ph: (801) 816-0332		Integrated Wellness Utah
10376 S Jordan Gtwy,
South Jordan, UT 84095-3954

Ph: (801) 816-0332

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.