Mary Kathryn Pengelly, OT in Salt Lake City, UT - Medicare Physical Therapist Provider

Mary Kathryn Pengelly, OT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Salt Lake City, Utah. Her current practice location is 5151 S 900 E Ste 100, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 747-3702.

Mary Kathryn Pengelly is licensed to practice in Utah (license number 13293556-4201) 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 1861188856.

Contact Information

	Mary Kathryn Pengelly, OT
	5151 S 900 E Ste 100, Salt Lake City, UT 84117-6658
	(801) 747-3702
	(801) 262-0453

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Kathryn Pengelly
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	5151 S 900 E Ste 100, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861188856
Provider Enumeration Date: 04/13/2023
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7012376536
Enrollment ID: I20230630002284

Medical Identifiers

Medical identifiers for Mary Kathryn Pengelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861188856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	13293556-4201 (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. Mary Kathryn Pengelly allows following entities to bill medicare on her behalf.

Provider Name	Hand & Orthopedic Rehabilitation Specialists Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790815173 PECOS PAC ID: 0547252207 Enrollment ID: O20040401000861

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. Mary Kathryn Pengelly 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
Mary Kathryn Pengelly, OT 5151 S 900 E Ste 100, Salt Lake City, UT 84117-6658 Ph: (801) 747-3702	Mary Kathryn Pengelly, OT 5151 S 900 E Ste 100, Salt Lake City, UT 84117-6658 Ph: (801) 747-3702

Reviews and Comments

Physical Therapist in Salt Lake City, UT

Dr. Craig M Crookston, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Ste 4400, Salt Lake City, UT 84112 Phone: 801-662-4951 Fax: 801-662-4931
Joel Dela Cruz Timbol, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955
Eon Jarvis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303
Keegan Marie Ryan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4980
Elizabeth Neilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256
Eric Glad, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1515 S 1100 E, Salt Lake City, UT 84105 Phone: 801-583-5692
Samantha Dawson Tandy, Dpt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 S Denver St Ste 310, Salt Lake City, UT 84111 Phone: 574-453-8548

Mary Kathryn Pengelly, OT - Medicare Physical Therapist in Salt Lake City, UT