Krista Jean Clark, PT - Medicare Physical Therapist in Midway, UT

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Krista Jean Clark, PT is a medicare enrolled "Physical Therapist" provider in Midway, Utah. She graduated from medical school in 1984 and has 41 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is 210 E Main St Ste 111, Midway, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 657-0123.

Krista Jean Clark is licensed to practice in Utah (license number 116187-2401) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114935301.

Contact Information

Krista Jean Clark, PT
210 E Main St Ste 111,
Midway, UT 84049-6828
(435) 657-0123
(435) 657-0330

Map and Direction




Healthcare Provider's Profile

Full NameKrista Jean Clark
GenderFemale
SpecialityPhysical Therapy
Experience41 Years
Location210 E Main St Ste 111, Midway, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Krista Jean Clark graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1114935301
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8426089996
  • Enrollment ID: I20120118000000

Medical Identifiers

Medical identifiers for Krista Jean Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114935301NPI-NPPES
67054OtherUTPEHP
64-00532OtherUTUNITEDHEALTHCARE
199209OtherUTALTIUSHEALTH ADMINISTRATO
11618724000001OtherUTBCBS REGENCE OF UTAH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 116187-2401 (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. Krista Jean Clark allows following entities to bill medicare on her behalf.
Provider NameWellspring Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265513774
PECOS PAC ID: 6709817273
Enrollment ID: O20050824000582

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. Krista Jean Clark 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
Krista Jean Clark, PT
210 E Main St Ste 111,
Midway, UT 84049-6828

Ph: (435) 657-0123		Krista Jean Clark, PT
210 E Main St Ste 111,
Midway, UT 84049-6828

Ph: (435) 657-0123

Reviews and Comments


Physical Therapist in Midway, UT

Caroline J Rhodes,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 210 E Main St Ste 111, Midway, UT 84049
Phone: 435-657-0123    
Wellspring Physical Therapy, Llc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 210 E Main St Ste 111, Midway, UT 84049
Phone: 435-657-0123    Fax: 435-657-0330

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.