Martin Lee Anderson, PT in Providence, UT - Medicare Physical Therapist Provider

Martin Lee Anderson, PT is a medicare enrolled "Physical Therapist" provider in Providence, Utah. His current practice location is 169 Springcreek Pkwy, Providence, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 755-8500.

Martin Lee Anderson is licensed to practice in Utah (license number 2850272401) 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 1730227778.

Contact Information

	Martin Lee Anderson, PT
	169 Springcreek Pkwy, Providence, UT 84332-9707
	(435) 755-8500
	(435) 755-2836

Map and Direction

Healthcare Provider's Profile

Full Name	Martin Lee Anderson
Gender	Male
Speciality	Physical Therapist
Location	169 Springcreek Pkwy, Providence, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730227778
Provider Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4880042688
Enrollment ID: I20231204002002

Medical Identifiers

Medical identifiers for Martin Lee Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730227778	NPI	-	NPPES
364291233000	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2850272401 (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. Martin Lee Anderson allows following entities to bill medicare on his behalf.

Provider Name	Ihc Health Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064

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. Martin Lee Anderson 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
Martin Lee Anderson, PT 2380 N 400 E, North Logan, UT 84341-1749 Ph: (435) 713-9700	Martin Lee Anderson, PT 169 Springcreek Pkwy, Providence, UT 84332-9707 Ph: (435) 755-8500

Reviews and Comments

Physical Therapist in Providence, UT

Darin Andrew Chase, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332 Phone: 435-799-3111 Fax: 435-799-3148
Brandon Reed, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 550 W 465 N, Providence, UT 84332 Phone: 435-535-3677
Katelyn Laaksonen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 550 W 465 N Ste 504, Providence, UT 84332 Phone: 435-535-3677
Hunter Hanks, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332 Phone: 435-799-3111
Gateway Physical Therapy And Sports Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332 Phone: 435-799-3111
Kellie Whiton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 N Gateway Dr Ste 210, Providence, UT 84332 Phone: 435-701-7010 Fax: 435-701-7012
Jonathan Patrick Sprouse, Physical Therapist Medicare: Medicare Enrolled Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300

Martin Lee Anderson, PT - Medicare Physical Therapist in Providence, UT