Mr Mitchell Taylor Peterson, DPT in Salt Lake City, UT - Medicare Physical Therapist Provider

Mr Mitchell Taylor Peterson, DPT is a medicare enrolled "Physical Therapist" provider in Salt Lake City, Utah. His current practice location is 1050 E South Temple, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 350-4111.

Mr Mitchell Taylor Peterson is licensed to practice in Utah (license number 8331271-2401) 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 1295078509.

Contact Information

	Mr Mitchell Taylor Peterson, DPT
	1050 E South Temple, Salt Lake City, UT 84102-1507
	(801) 350-4111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mitchell Taylor Peterson
Gender	Male
Speciality	Physical Therapist
Location	1050 E South Temple, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295078509
Provider Enumeration Date: 04/04/2013
Last Update Date: 04/04/2013

Medicare PECOS Information:

PECOS PAC ID: 5991002743
Enrollment ID: I20160323000449

Medical Identifiers

Medical identifiers for Mr Mitchell Taylor Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295078509	NPI	-	NPPES
621795214	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8331271-2401 (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. Mr Mitchell Taylor Peterson allows following entities to bill medicare on his behalf.

Provider Name	Physician Group Of Utah Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886

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 Mitchell Taylor Peterson 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 Mitchell Taylor Peterson, DPT 1050 E South Temple, Salt Lake City, UT 84102-1507 Ph: (801) 350-4111	Mr Mitchell Taylor Peterson, DPT 1050 E South Temple, Salt Lake City, UT 84102-1507 Ph: (801) 350-4111

Reviews and Comments

Physical Therapist in Salt Lake City, UT

Dr. Craig M Crookston, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Ste 4400, Salt Lake City, UT 84112 Phone: 801-662-4951 Fax: 801-662-4931
Joel Dela Cruz Timbol, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955
Eon Jarvis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303
Keegan Marie Ryan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4980
Elizabeth Neilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256
Eric Glad, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1515 S 1100 E, Salt Lake City, UT 84105 Phone: 801-583-5692
Samantha Dawson Tandy, Dpt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 S Denver St Ste 310, Salt Lake City, UT 84111 Phone: 574-453-8548

Mr Mitchell Taylor Peterson, DPT - Medicare Physical Therapist in Salt Lake City, UT