Axial-im is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" provider in Riverton, Utah. Their current practice location is
3898 W Innovation Dr Ste B, Riverton, Utah. You can reach out to their office (for appointments etc.) via phone at
(801) 302-0660.
Axial-im is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Axial-im
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 1740843697.
Healthcare Provider's Profile
| Full Name | Axial-im |
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| Type | Facility |
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| Speciality | Neuromusculoskeletal Medicine & Omm |
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| Location | 3898 W Innovation Dr Ste B, Riverton, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740843697
- Provider Enumeration Date: 04/17/2019
- Last Update Date: 03/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476083791
- Enrollment ID: O20250214003033
Medical Identifiers
Medical identifiers for Axial-im such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740843697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251N0400X | Physical Therapist - Neurology | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Axial-im acts as a billing entity for following providers:
| Provider Name | David A Bowman |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1053486076
PECOS PAC ID: 7214832955
Enrollment ID: I20130820000355 |
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| Provider Name | Elizabeth Janine Hugie |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1518665983
PECOS PAC ID: 5991240707
Enrollment ID: I20240716002473 |
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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. Axial-im 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 |
|---|
Axial-im
Po Box 95411,
South Jordan, UT 84095-0411
Ph: (801) 210-2776 | Axial-im
3898 W Innovation Dr Ste B,
Riverton, UT 84065-6038
Ph: (801) 302-0660 |
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