Summit Chiropractic Llc is a medicare enrolled "Nurse Practitioner - Primary Care" provider in St George, Utah. Their current practice location is
1397 W Sunset Blvd Ste 109, St George, Utah. You can reach out to their office (for appointments etc.) via phone at
(435) 862-0125.
Summit Chiropractic Llc is licensed to practice in Utah (license number 5322635-4405) and it also participates in the medicare program. Summit Chiropractic Llc
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 1831626993.
Healthcare Provider's Profile
Full Name | Summit Chiropractic Llc |
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Type | Facility |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 1397 W Sunset Blvd Ste 109, St George, Utah |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831626993
- Provider Enumeration Date: 05/18/2017
- Last Update Date: 12/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941578694
- Enrollment ID: O20170621001381
Medical Identifiers
Medical identifiers for Summit Chiropractic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831626993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 8328842-1202 (Utah) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 5322635-4405 (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.
Summit Chiropractic Llc acts as a billing entity for following providers:
Provider Name | Orbie T Davis |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1053453191 PECOS PAC ID: 5597677021 Enrollment ID: I20130731000690 |
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Provider Name | Steffanie Peterson |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1083969455 PECOS PAC ID: 5597992560 Enrollment ID: I20131219000166 |
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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. Summit Chiropractic Llc 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 |
Summit Chiropractic Llc 1397 W Sunset Blvd Ste 109, St George, UT 84770-4212 Ph: (435) 862-0125 | Summit Chiropractic Llc 1397 W Sunset Blvd Ste 109, St George, UT 84770-4212 Ph: (435) 862-0125 |
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