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

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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

Map and Direction




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

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

Reviews and Comments


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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.