Mckale Mikolajczak, DPT - Medicare Physical Therapist in Bountiful, UT

Mckale Mikolajczak, DPT is a medicare enrolled "Physical Therapist" provider in Bountiful, Utah. His current practice location is 1551 Renaissance Towne Dr Ste 350, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 295-3553.

Mckale Mikolajczak is licensed to practice in Utah (license number 12835857-2401) 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 1427795541.

Contact Information

Mckale Mikolajczak, DPT
1551 Renaissance Towne Dr Ste 350,
Bountiful, UT 84010-7674
(801) 295-3553
(801) 295-3599

Map and Direction




Healthcare Provider's Profile

Full NameMckale Mikolajczak
GenderMale
SpecialityPhysical Therapist
Location1551 Renaissance Towne Dr Ste 350, Bountiful, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427795541
  • Provider Enumeration Date: 05/19/2022
  • Last Update Date: 01/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133501828
  • Enrollment ID: I20220727002578

Medical Identifiers

Medical identifiers for Mckale Mikolajczak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427795541NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 12835857-2401 (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. Mckale Mikolajczak allows following entities to bill medicare on his behalf.
Provider NamePerformance West Physical Therapy
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1720148240
PECOS PAC ID: 4789649047
Enrollment ID: O20041129000296
Provider NameUniversity Of Utah
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588656870
PECOS PAC ID: 0749262665
Enrollment ID: O20050629000441

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. Mckale Mikolajczak 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
Mckale Mikolajczak, DPT
1551 Renaissance Towne Dr Ste 350,
Bountiful, UT 84010-7674

Ph: (801) 295-3553
Mckale Mikolajczak, DPT
1551 Renaissance Towne Dr Ste 350,
Bountiful, UT 84010-7674

Ph: (801) 295-3553

Reviews and Comments


Physical Therapist in Bountiful, UT

Jaren Weber, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 74 E 500 S Ste 104, Bountiful, UT 84010
Phone: 801-292-5011    
Mr. Robert Allen Hawkes, MSPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1551 S Renaissance Twn Dr, Suite 420 Sportsmed Physical Therapy, Bountiful, UT 84010
Phone: 801-295-8999    Fax: 801-292-4168
Jessica Elizabeth Sherman, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 280 N Main St, Bountiful, UT 84010
Phone: 801-397-8700    
Michael Carl Warren, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 74 E 500 S Ste 104, Bountiful, UT 84010
Phone: 801-292-5011    Fax: 801-292-8222
Jessie Balicki,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 523 N Main St, Bountiful, UT 84010
Phone: 801-951-2273    
Mr. Robert J Larsen, MPT ATG
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1551 S Renaissance Twn Dr, Suite 420, Bountiful, UT 84010
Phone: 801-295-8999    Fax: 801-292-4168
Mrs. Stephanie Jackson, D.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1551 Renaissance Towne Dr Ste 350, Bountiful, UT 84010
Phone: 801-295-3553    Fax: 801-295-3599

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.