Wasatch Podiatry Pllc is a medicare enrolled "Clinic/center - Podiatric" provider in Ogden, Utah. Their current practice location is
5275 Adams Ave Pkwy, Suite A, Ogden, Utah. You can reach out to their office (for appointments etc.) via phone at
(801) 430-8406.
Wasatch Podiatry Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Wasatch Podiatry Pllc
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 1114224805.
Healthcare Provider's Profile
Full Name | Wasatch Podiatry Pllc |
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Type | Facility |
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Speciality | Clinic/center - Podiatric |
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Location | 5275 Adams Ave Pkwy, Ogden, Utah |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114224805
- Provider Enumeration Date: 02/16/2011
- Last Update Date: 01/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385829977
- Enrollment ID: O20110425000795
Medical Identifiers
Medical identifiers for Wasatch Podiatry Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114224805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 7259622-0501 (Utah) | Secondary |
261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Wasatch Podiatry Pllc acts as a billing entity for following providers:
Provider Name | Susan M Agres |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1053560789 PECOS PAC ID: 1759429202 Enrollment ID: I20091104000003 |
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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. Wasatch Podiatry Pllc 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 |
Wasatch Podiatry Pllc Po Box 150383, Ogden, UT 84415-0383 Ph: (801) 430-8406 | Wasatch Podiatry Pllc 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405-6748 Ph: (801) 430-8406 |
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