Derek Garn Rodeback, DO - Medicare Physical Medicine & Rehabilitation in Bountiful, UT

Derek Garn Rodeback, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Bountiful, Utah. His current practice location is 1818 Mueller Park Rd, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (453) 414-9858.

Derek Garn Rodeback is licensed to practice in Utah (license number 12005709-1204) 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 1053751032.

Contact Information

Derek Garn Rodeback, DO
1818 Mueller Park Rd,
Bountiful, UT 84010-1105
(453) 414-9858
Not Available



Physician's Profile

Full NameDerek Garn Rodeback
GenderMale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location1818 Mueller Park Rd, Bountiful, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053751032
  • Provider Enumeration Date: 07/05/2013
  • Last Update Date: 09/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062788185
  • Enrollment ID: I20210706000973

Medical Identifiers

Medical identifiers for Derek Garn Rodeback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053751032NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 12005709-1204 (Utah)Primary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine DR.0061855 (Colorado)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. Derek Garn Rodeback allows following entities to bill medicare on his behalf.
Entity NameH&h Chiropractic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356590319
PECOS PAC ID: 5799843710
Enrollment ID: O20081021000161

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Entity NameRoad Back Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598339905
PECOS PAC ID: 7012319627
Enrollment ID: O20210706000625

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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. Derek Garn Rodeback 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
Derek Garn Rodeback, DO
1818 Mueller Park Rd,
Bountiful, UT 84010-1105

Ph: (453) 414-9858
Derek Garn Rodeback, DO
1818 Mueller Park Rd,
Bountiful, UT 84010-1105

Ph: (453) 414-9858

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› Verified 2 days ago


Physical Medicine & Rehabilitation Doctors in Bountiful, UT

Mr. Spencer E Christensen, DPT
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 596 W 750 S Ste 210, Bountiful, UT 84010
Phone: 801-298-2533    Fax: 801-928-2882

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