Jonathan Patrick Sprouse, in Providence, UT - Medicare Physical Therapist Provider

Jonathan Patrick Sprouse, is a medicare enrolled "Physical Therapist" provider in Providence, Utah. His current practice location is 190 S Highway 165, Providence, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 755-3300.

Jonathan Patrick Sprouse is licensed to practice in Utah (license number 13286986-2401) 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 1548953631.

Contact Information

	Jonathan Patrick Sprouse,
	190 S Highway 165, Providence, UT 84332-9512
	(435) 755-3300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Patrick Sprouse
Gender	Male
Speciality	Physical Therapist
Location	190 S Highway 165, Providence, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548953631
Provider Enumeration Date: 06/02/2023
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 9234586108
Enrollment ID: I20231114003679

Medical Identifiers

Medical identifiers for Jonathan Patrick Sprouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548953631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13286986-2401 (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. Jonathan Patrick Sprouse allows following entities to bill medicare on his behalf.

Provider Name	Ihc Health Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064

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. Jonathan Patrick Sprouse 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
Jonathan Patrick Sprouse, 1007 E 450 N, Heber City, UT 84032-3089 Ph: (435) 671-7854	Jonathan Patrick Sprouse, 190 S Highway 165, Providence, UT 84332-9512 Ph: (435) 755-3300

Reviews and Comments

Physical Therapist in Providence, UT

Back At Work Of Utah Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 595 W 465 N, Providence, UT 84332 Phone: 435-216-4343
Darin Andrew Chase, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332 Phone: 435-799-3111 Fax: 435-799-3148
Brandon Reed, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 W 465 N, Providence, UT 84332 Phone: 435-535-3677
Katelyn Laaksonen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 W 465 N Ste 504, Providence, UT 84332 Phone: 435-535-3677
Hunter Hanks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332 Phone: 435-799-3111
Gateway Physical Therapy And Sports Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332 Phone: 435-799-3111

Jonathan Patrick Sprouse, - Medicare Physical Therapist in Providence, UT