Justine Nicole Stevens, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Santaquin, Utah. Her current practice location is
94 N Highway 198, Santaquin, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 754-5700.
Justine Nicole Stevens is licensed to practice in Utah (license number 13980606-2401) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629814645.
Physician's Profile
| Full Name | Justine Nicole Stevens |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 94 N Highway 198, Santaquin, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629814645
- Provider Enumeration Date: 07/09/2024
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103344080
- Enrollment ID: I20250514002855
Medical Identifiers
Medical identifiers for Justine Nicole Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629814645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 13980606-2401 (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. Justine Nicole Stevens allows following entities to bill medicare on her behalf.
| Entity Name | Cameron Park Physical Therapy Center Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1548368186
PECOS PAC ID: 8426036765
Enrollment ID: O20040712001498 |
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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. Justine Nicole Stevens 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 |
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Justine Nicole Stevens, PT, DPT
374 W 1860 S,
Lehi, UT 84043-4925
Ph: () - | Justine Nicole Stevens, PT, DPT
94 N Highway 198,
Santaquin, UT 84655-8231
Ph: (801) 754-5700 |
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