Revive Sport & Spine - Medicare Chiropractor in Midvale, UT

Revive Sport & Spine is a medicare enrolled "Chiropractor - Sports Physician" provider in Midvale, Utah. Their current practice location is 7351 S Union Park Ave Ste 150, Midvale, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 944-1855.

Revive Sport & Spine is licensed to practice in Utah (license number 91235421202) and it also participates in the medicare program. Revive Sport & Spine 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 1649646969.

Contact Information

Revive Sport & Spine
7351 S Union Park Ave Ste 150,
Midvale, UT 84047-1869
(801) 944-1855
(385) 351-5950

Map and Direction




Healthcare Provider's Profile

Full NameRevive Sport & Spine
TypeFacility
SpecialityChiropractor - Sports Physician
Location7351 S Union Park Ave Ste 150, Midvale, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649646969
  • Provider Enumeration Date: 08/20/2015
  • Last Update Date: 10/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9830497122
  • Enrollment ID: O20160420001060

Medical Identifiers

Medical identifiers for Revive Sport & Spine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649646969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 91235421202 (Utah)Secondary
111NS0005XChiropractor - Sports Physician 91235421202 (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. Revive Sport & Spine acts as a billing entity for following providers:
Provider NameAndrew J Reheisse
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1003217449
PECOS PAC ID: 0840410353
Enrollment ID: I20141006000949

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. Revive Sport & Spine 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
Revive Sport & Spine
7351 S Union Park Ave Ste 150,
Midvale, UT 84047-1869

Ph: (801) 944-1855
Revive Sport & Spine
7351 S Union Park Ave Ste 150,
Midvale, UT 84047-1869

Ph: (801) 944-1855

Reviews and Comments


Chiropractor in Midvale, UT

Dr. Andrew J Reheisse, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 7351 S Union Park Ave Ste 150, Midvale, UT 84047
Phone: 801-944-1855    Fax: 385-351-5950
Campbell Injury Clinic
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 115 E 7200 S, Midvale, UT 84047
Phone: 801-448-1895    Fax: 801-566-4476
Craig D Campbell, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 115 Fort Union Blvd, Midvale, UT 84047
Phone: 801-566-4357    Fax: 801-566-4476
Jordan Mousley, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 6717 S 900 E Ste 101, Midvale, UT 84047
Phone: 801-432-7511    Fax: 801-432-7516
Jeremy P. Wimmer Chiropractic, Llc
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 6717 South 900 East Suite 101, Midvale, UT 84047
Phone: 801-432-7511    Fax: 801-432-7516
Jack Scott Tripp, D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 115 E 7200 S, Midvale, UT 84047
Phone: 801-566-4357    Fax: 801-566-4476
Sports Chiropractic Of Utah Llc
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 6717 S 900 E Ste 101, Midvale, UT 84047
Phone: 406-381-7577    

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.