Holladay Physical Medicine - Medicare Chiropractor in Holladay, UT

Holladay Physical Medicine is a medicare enrolled "Chiropractor - Orthopedic" provider in Holladay, Utah. Their current practice location is 4211 Holladay Blvd, Holladay, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 272-8471.

Holladay Physical Medicine is licensed to practice in Utah (license number 161820-1202) and it also participates in the medicare program. Holladay Physical Medicine 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 1487928222.

Contact Information

Holladay Physical Medicine
4211 Holladay Blvd,
Holladay, UT 84124-2607
(801) 272-8471
Not Available



Healthcare Provider's Profile

Full NameHolladay Physical Medicine
TypeFacility
SpecialityChiropractor - Orthopedic
Location4211 Holladay Blvd, Holladay, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487928222
  • Provider Enumeration Date: 02/24/2012
  • Last Update Date: 02/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5597924555
  • Enrollment ID: O20120309000667

Medical Identifiers

Medical identifiers for Holladay Physical Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487928222NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NX0800XChiropractor - Orthopedic 161820-1202 (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. Holladay Physical Medicine acts as a billing entity for following providers:
Provider NameBruce Van Gundersen
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1952409476
PECOS PAC ID: 2769641729
Enrollment ID: I20120309000675

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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. Holladay Physical Medicine 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 AddressPractice Location Address
Holladay Physical Medicine
4211 Holladay Blvd,
Holladay, UT 84124-2607

Ph: (801) 272-8471
Holladay Physical Medicine
4211 Holladay Blvd,
Holladay, UT 84124-2607

Ph: (801) 272-8471

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Chiropractor in Holladay, UT

Mr. Jeffrey Todd Owens, DC
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 2040 Murray Holladay Rd, Suite 206, Holladay, UT 84117
Phone: 801-277-7120    Fax: 801-277-7146
Dr. Jedidiah Richard Farley, D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 2040 E Murray Holladay Rd, Suite 102 A, Holladay, UT 84117
Phone: 801-372-5864    Fax: 385-695-5984
Capstone Chiropractic Llc
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 2200 E 4500 S, Ste 110, Holladay, UT 84117
Phone: 801-272-8500    Fax: 801-272-3562
Dr. John A Anderson, D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 6069 Highland Dr, Holladay, UT 84121
Phone: 801-278-7444    Fax: 801-272-6920
Ryan James Rowell, D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 2200 E 4500 S Ste 110, Holladay, UT 84117
Phone: 801-272-8500    
The Works
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 1961 E Murray Holladay Rd, Holladay, UT 84117
Phone: 801-273-7777    

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