Derek Ray Ellgen, DPT is a medicare enrolled "Physical Therapist" provider in Mount Pleasant, Utah. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Therapy West Inc and his current practice location is
1050 S Medical Dr Ste A, Mount Pleasant, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 462-0178.
Derek Ray Ellgen is licensed to practice in Utah (license number 10448742-2401) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548783707.
Healthcare Provider's Profile
| Full Name | Derek Ray Ellgen |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 8 Years |
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| Location | 1050 S Medical Dr Ste A, Mount Pleasant, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Derek Ray Ellgen graduated from medical school in 2017
NPI Data:
- NPI Number: 1548783707
- Provider Enumeration Date: 07/19/2017
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901171453
- Enrollment ID: I20171009002663
Medical Identifiers
Medical identifiers for Derek Ray Ellgen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548783707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 10448742-2401 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Therapy West Inc | 8921098567 | 10 |
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. Derek Ray Ellgen allows following entities to bill medicare on his behalf.
| Provider Name | Therapy West Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184678070
PECOS PAC ID: 8921098567
Enrollment ID: O20040514001009 |
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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. Derek Ray Ellgen 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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Derek Ray Ellgen, DPT
Po Box 396,
Gunnison, UT 84634-0396
Ph: (435) 528-7575 | Derek Ray Ellgen, DPT
1050 S Medical Dr Ste A,
Mount Pleasant, UT 84647-2200
Ph: (435) 462-0178 |
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