| Jesse Adam Cleverley, DC | |
|
1684 W Reunion Ave Ste 250, South Jordan, UT 84095-4626 | |
| (801) 562-0363 | |
| (801) 562-0347 |
| Full Name | Jesse Adam Cleverley |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 28 Years |
| Location | 1684 W Reunion Ave Ste 250, South Jordan, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386785939 | NPI | - | NPPES |
| 000010008123 | Other | ID | BLUE SHIELD |
| 806192200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-851 (Idaho) | Secondary |
| 111N00000X | Chiropractor | 9213627-1202 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seasons Chiropractic Llc | 1355790791 | 2 |
| Provider Name | Seasons Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104494400 PECOS PAC ID: 1355790791 Enrollment ID: O20231212000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Adam Cleverley, DC 1684 W Reunion Ave Ste 250, South Jordan, UT 84095-4626 Ph: (801) 562-0363 | Jesse Adam Cleverley, DC 1684 W Reunion Ave Ste 250, South Jordan, UT 84095-4626 Ph: (801) 562-0363 |
Nicholas Takis, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10459 South 1300 West, Suite 203, South Jordan, UT 84095 Phone: 385-308-8169 | |
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 | |
Scranton Clinic Of Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4775 W. Daybreak Parkway, St. 102, South Jordan, UT 84095 Phone: 309-737-1534 Fax: 432-204-3527 |