Andrew Wade Phippen, - Medicare Physical Medicine & Rehabilitation in Holladay, UT

Andrew Wade Phippen, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Holladay, Utah. His current practice location is 2960 E Casto Ln, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 556-1866.

Andrew Wade Phippen is licensed to practice in Utah (license number 284016-2401) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083069025.

Contact Information

Andrew Wade Phippen,
2960 E Casto Ln,
Holladay, UT 84117-7123
(801) 556-1866
(801) 649-5966

Map and Direction




Physician's Profile

Full NameAndrew Wade Phippen
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location2960 E Casto Ln, Holladay, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083069025
  • Provider Enumeration Date: 04/27/2016
  • Last Update Date: 05/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749697076
  • Enrollment ID: I20210607000563

Medical Identifiers

Medical identifiers for Andrew Wade Phippen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083069025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 284016-2401 (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. Andrew Wade Phippen allows following entities to bill medicare on his behalf.
Entity NameElite Healthcare Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346795325
PECOS PAC ID: 1658650361
Enrollment ID: O20161122000048

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. Andrew Wade Phippen 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
Andrew Wade Phippen,
2960 E Casto Ln,
Holladay, UT 84117-7123

Ph: (801) 556-1866
Andrew Wade Phippen,
2960 E Casto Ln,
Holladay, UT 84117-7123

Ph: (801) 556-1866

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Holladay, UT

Dr. Jayne Elizabeth Clark, M.D.
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 2180 E 4500 S, Suite #185, Holladay, UT 84117
Phone: 801-272-6972    Fax: 801-272-6953

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.