Mitchell Belliston, is a medicare enrolled "Physical Therapist - Orthopedic" provider in West Valley, Utah. His current practice location is
1685 W 2200 S, West Valley, Utah. You can reach out to his office (for appointments etc.) via phone at
(385) 224-8988.
Mitchell Belliston is licensed to practice in Utah (license number 13149266-2401) 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 1942062104.
Healthcare Provider's Profile
| Full Name | Mitchell Belliston |
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| Gender | Male |
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| Speciality | Physical Therapist - Orthopedic |
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| Location | 1685 W 2200 S, West Valley, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942062104
- Provider Enumeration Date: 01/24/2024
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638614670
- Enrollment ID: I20240714000013
Medical Identifiers
Medical identifiers for Mitchell Belliston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942062104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2251X0800X | Physical Therapist - Orthopedic | 13149266-2401 (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. Mitchell Belliston allows following entities to bill medicare on his behalf.
| Provider Name | Ihc Health Services Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
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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. Mitchell Belliston 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 |
Mitchell Belliston, 446 E 2320 N, Provo, UT 84604-1774 Ph: () - | Mitchell Belliston, 1685 W 2200 S, West Valley, UT 84119-1456 Ph: (385) 224-8988 |
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