Krace Conner Maw, in South Ogden, UT - Medicare Physical Therapist Provider

Krace Conner Maw, is a medicare enrolled "Physical Therapist" provider in South Ogden, Utah. His current practice location is 5856 Harrison Blvd Ste A, South Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 475-6415.

Krace Conner Maw is licensed to practice in Idaho (license number PT-5653) 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 1124510235.

Contact Information

	Krace Conner Maw,
	5856 Harrison Blvd Ste A, South Ogden, UT 84403-2117
	(801) 475-6415
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Krace Conner Maw
Gender	Male
Speciality	Physical Therapist
Location	5856 Harrison Blvd Ste A, South Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124510235
Provider Enumeration Date: 06/04/2018
Last Update Date: 06/04/2018

Medicare PECOS Information:

PECOS PAC ID: 1355695693
Enrollment ID: I20181126001976

Medical Identifiers

Medical identifiers for Krace Conner Maw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124510235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-5653 (Idaho)	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. Krace Conner Maw allows following entities to bill medicare on his behalf.

Provider Name	Body Tune Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952522419 PECOS PAC ID: 5092723817 Enrollment ID: O20060404000851

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. Krace Conner Maw 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
Krace Conner Maw, 5856 Harrison Blvd Ste A, South Ogden, UT 84403-2117 Ph: (801) 475-6415	Krace Conner Maw, 5856 Harrison Blvd Ste A, South Ogden, UT 84403-2117 Ph: (801) 475-6415

Reviews and Comments

Physical Therapist in South Ogden, UT

Mr. Stephen Reese Spencer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5734 S 1475 E, #300, South Ogden, UT 84403 Phone: 801-475-7628 Fax: 801-475-7639
Benjamin Cabal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6017 Fashion Point Dr, South Ogden, UT 84403 Phone: 925-621-9099
Makina Todd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5856 Harrison Blvd Ste A, South Ogden, UT 84403 Phone: 801-475-6415
Kaitlyn Owen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1710 E 5600 S, South Ogden, UT 84403 Phone: 801-689-2546
Brent Webb, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1452 E Ridgeline Dr, #51, South Ogden, UT 84405 Phone: 801-479-5777 Fax: 801-479-7005
Jim Felt P.t., Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5734 South 1475 East, #300, South Ogden, UT 84403 Phone: 801-475-7628 Fax: 801-475-7639

Krace Conner Maw, - Medicare Physical Therapist in South Ogden, UT