Landon Ryan Bowerbank, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lehi, Utah. His current practice location is
3300 N Running Creek Way Bldg C Suite 300, Bldg C Suite 300, Lehi, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 901-4333.
Landon Ryan Bowerbank is licensed to practice in Utah (license number 13221936-0501) 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 1083234975.
Healthcare Provider's Profile
| Full Name | Landon Ryan Bowerbank |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 3300 N Running Creek Way Bldg C Suite 300, Lehi, 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: 1083234975
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 06/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527480318
- Enrollment ID: I20230712000413
Medical Identifiers
Medical identifiers for Landon Ryan Bowerbank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083234975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | 13221936-0501 (Utah) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 13221936-0501 (Utah) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | 13221936-0501 (Utah) | Secondary |
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. Landon Ryan Bowerbank allows following entities to bill medicare on his behalf.
| Provider Name | Ellsworth Foot And Ankle Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942549795 PECOS PAC ID: 2062778160 Enrollment ID: O20211110001673 |
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| Provider Name | Pioneer Foot And Ankle, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144085093 PECOS PAC ID: 2062853708 Enrollment ID: O20240513003477 |
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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. Landon Ryan Bowerbank 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 |
Landon Ryan Bowerbank, DPM 3300 N Running Creek Way Bldg C Suite 300, Bldg C Suite 300, Lehi, UT 84043-3654 Ph: (801) 901-4333 | Landon Ryan Bowerbank, DPM 3300 N Running Creek Way Bldg C Suite 300, Bldg C Suite 300, Lehi, UT 84043 Ph: (801) 901-4333 |
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