Wellspring Physical Therapy, Llc in Midway, UT - Medicare Physical Therapist Provider

Wellspring Physical Therapy, Llc is a medicare enrolled "Physical Therapist" provider in Midway, Utah. Their current practice location is 210 E Main St Ste 111, Midway, Utah. You can reach out to their office (for appointments etc.) via phone at (435) 657-0123.

Wellspring Physical Therapy, Llc is licensed to practice in Utah (license number 116187-2401) and it also participates in the medicare program. Wellspring Physical Therapy, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1265513774.

Contact Information

	Wellspring Physical Therapy, Llc
	210 E Main St Ste 111, Midway, UT 84049-6828
	(435) 657-0123
	(435) 657-0330

Map and Direction

Healthcare Provider's Profile

Full Name	Wellspring Physical Therapy, Llc
Type	Facility
Speciality	Physical Therapist
Location	210 E Main St Ste 111, Midway, Utah
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265513774
Provider Enumeration Date: 10/18/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 6709817273
Enrollment ID: O20050824000582

Medical Identifiers

Medical identifiers for Wellspring Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265513774	NPI	-	NPPES
5291725170001	Medicaid	UT
67054	Other	UT	PEHP
11618724000001	Other	UT	BCBS
64-00532	Other	UT	UNITEDHEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	116187-2401 (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. Wellspring Physical Therapy, Llc acts as a billing entity for following providers:

Provider Name	Krista J Clark
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1114935301 PECOS PAC ID: 8426089996 Enrollment ID: I20120118000000

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. Wellspring Physical Therapy, Llc 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
Wellspring Physical Therapy, Llc 210 E Main St Ste 111, Midway, UT 84049-6828 Ph: (435) 657-0123	Wellspring Physical Therapy, Llc 210 E Main St Ste 111, Midway, UT 84049-6828 Ph: (435) 657-0123

Reviews and Comments

Physical Therapist in Midway, UT

Krista Jean Clark, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 E Main St Ste 111, Midway, UT 84049 Phone: 435-657-0123 Fax: 435-657-0330
Caroline J Rhodes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 E Main St Ste 111, Midway, UT 84049 Phone: 435-657-0123

Wellspring Physical Therapy, Llc - Medicare Physical Therapist in Midway, UT