Mrs Diane Wendy Hagen, MPT - Medicare Physical Therapist in Taylorsville, UT

Mrs Diane Wendy Hagen, MPT is a medicare enrolled "Physical Therapist" provider in Taylorsville, Utah. Her current practice location is 3845 W 4700 S, Taylorsville, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 840-2191.

Mrs Diane Wendy Hagen is licensed to practice in Utah (license number 5148443-2401) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437281508.

Contact Information

Mrs Diane Wendy Hagen, MPT
3845 W 4700 S,
Taylorsville, UT 84118-3454
(801) 840-2191
(801) 840-2197



Healthcare Provider's Profile

Full NameMrs Diane Wendy Hagen
GenderFemale
SpecialityPhysical Therapist
Location3845 W 4700 S, Taylorsville, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437281508
  • Provider Enumeration Date: 03/12/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9032574041
  • Enrollment ID: I20230426002282

Medical Identifiers

Medical identifiers for Mrs Diane Wendy Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437281508NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5148443-2401 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Diane Wendy Hagen allows following entities to bill medicare on her behalf.
Provider NameOrthopaedic And Neurological Rehab Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1225496540
PECOS PAC ID: 6507159126
Enrollment ID: O20200930001509

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Provider NameUtah Luna Care Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1437802246
PECOS PAC ID: 4880089275
Enrollment ID: O20220322001637

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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. Mrs Diane Wendy Hagen 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
Mrs Diane Wendy Hagen, MPT
12088 Margaret Rose Dr,
Riverton, UT 84065-4052

Ph: (801) 232-9242
Mrs Diane Wendy Hagen, MPT
3845 W 4700 S,
Taylorsville, UT 84118-3454

Ph: (801) 840-2191

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Physical Therapist in Taylorsville, UT

Worksite Wellness
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2520 W 4700 S, Taylorsville, UT 84118
Phone: 801-599-6412    Fax: 801-964-2435
Carson Chandler,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3845 W 4700 S, Taylorsville, UT 84129
Phone: 801-840-2191    
Brook Dummer, DPT, CEAS
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3845 W 4700 S, Taylorsville, UT 84129
Phone: 801-840-2000    
Mr. Robby S Luck, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 5547 S 4015 W, #7, Taylorsville, UT 84118
Phone: 801-967-6055    Fax: 801-967-6934
Mr. Rodney A Miyasaki, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5547 S 4015 W, #7, Taylorsville, UT 84129
Phone: 801-967-6055    Fax: 801-967-6934
Mr. Wesley Paul Walker, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3086 W Eugene Hill Way, Taylorsville, UT 84129
Phone: 385-226-0368    Fax: 801-416-3446
Mr. Phillip Booth Arnold, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1018 Atherton Dr, Taylorsville, UT 84123
Phone: 801-716-2289    Fax: 801-716-2290

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