Mr Brandon M Poulter, DPT in Draper, UT - Medicare Physical Therapist Provider

Mr Brandon M Poulter, DPT is a medicare enrolled "Physical Therapist" provider in Draper, Utah. His current practice location is 12198 S State St Ste 3, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 571-6600.

Mr Brandon M Poulter is licensed to practice in Utah (license number ) 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 1538675475.

Contact Information

	Mr Brandon M Poulter, DPT
	12198 S State St Ste 3, Draper, UT 84020-9647
	(801) 571-6600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brandon M Poulter
Gender	Male
Speciality	Physical Therapist
Location	12198 S State St Ste 3, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538675475
Provider Enumeration Date: 12/14/2017
Last Update Date: 12/14/2017

Medicare PECOS Information:

PECOS PAC ID: 7719246016
Enrollment ID: I20190513002205

Medical Identifiers

Medical identifiers for Mr Brandon M Poulter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538675475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(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. Mr Brandon M Poulter allows following entities to bill medicare on his behalf.

Provider Name	Industrial Hand And Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124035258 PECOS PAC ID: 8325937907 Enrollment ID: O20040311001464

Provider Name	Kinect Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811265929 PECOS PAC ID: 3476713009 Enrollment ID: O20120319000836

Provider Name	Arizona Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629698147 PECOS PAC ID: 8325469661 Enrollment ID: O20200522000830

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. Mr Brandon M Poulter 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
Mr Brandon M Poulter, DPT 12198 S State St Ste 3, Draper, UT 84020-9647 Ph: (801) 571-6600	Mr Brandon M Poulter, DPT 12198 S State St Ste 3, Draper, UT 84020-9647 Ph: (801) 571-6600

Reviews and Comments

Physical Therapist in Draper, UT

Thomas J Tardif, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034
Dr. Joseph Guido Dubato, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Justin Guillot, Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 Fax: 385-308-8034

Mr Brandon M Poulter, DPT - Medicare Physical Therapist in Draper, UT