Jordan Lovell Shumway, PA, ATC is a medicare enrolled "Specialist/technologist - Athletic Trainer" in Salt Lake City, Utah. His current practice location is
333 N 300 W, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 463-7415.
Jordan Lovell Shumway is licensed to practice in Utah (license number BOC373277) 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 1932733771.
Provider's Profile
Full Name | Jordan Lovell Shumway |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 333 N 300 W, Salt Lake City, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932733771
- Provider Enumeration Date: 03/02/2020
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244673572
- Enrollment ID: I20240203000008
Medical Identifiers
Medical identifiers for Jordan Lovell Shumway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932733771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | BOC373277 (Utah) | Primary |
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. Jordan Lovell Shumway 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 |
Jordan Lovell Shumway, PA, ATC 2326 W 11625 S, Riverton, UT 84095-7936 Ph: (385) 208-8376 | Jordan Lovell Shumway, PA, ATC 333 N 300 W, Salt Lake City, UT 84103-1215 Ph: (801) 463-7415 |
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