Mr John W Payne, PT in Providence, UT - Medicare Physical Therapist Provider

Mr John W Payne, PT is a medicare enrolled "Physical Therapist" provider in Providence, Utah. His current practice location is 169 N Gateway Dr Ste 210, Providence, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 701-7010.

Mr John W Payne is licensed to practice in Washington (license number PT9170) 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 1760560700.

Contact Information

	Mr John W Payne, PT
	169 N Gateway Dr Ste 210, Providence, UT 84332-9805
	(435) 701-7010
	(435) 701-7012

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John W Payne
Gender	Male
Speciality	Physical Therapist
Location	169 N Gateway Dr Ste 210, 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: 1760560700
Provider Enumeration Date: 11/01/2006
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 7810897741
Enrollment ID: I20040108001123

Medical Identifiers

Medical identifiers for Mr John W Payne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760560700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT9170 (Washington)	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 John W Payne allows following entities to bill medicare on his behalf.

Provider Name	Therapy Management Services Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710330378 PECOS PAC ID: 0143500983 Enrollment ID: O20161213001176

Provider Name	Sundance Circle Hippotherapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588257687 PECOS PAC ID: 4587035126 Enrollment ID: O20230119000280

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 John W Payne 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 John W Payne, PT 1392 W 6500 S, Hyrum, UT 84319-7105 Ph: (801) 863-0654	Mr John W Payne, PT 169 N Gateway Dr Ste 210, Providence, UT 84332-9805 Ph: (435) 701-7010

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

Mr John W Payne, PT - Medicare Physical Therapist in Providence, UT