Mitch Lillywhite, DPT in West Haven, UT - Medicare Physical Therapist Provider

Mitch Lillywhite, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in West Haven, Utah. His current practice location is 4640 S 3500 W, West Haven, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 689-0200.

Mitch Lillywhite is licensed to practice in Utah (license number 9739106-2401) 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 1396291753.

Contact Information

	Mitch Lillywhite, DPT
	4640 S 3500 W, West Haven, UT 84401-6521
	(801) 689-0200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mitch Lillywhite
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	4640 S 3500 W, West Haven, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396291753
Provider Enumeration Date: 08/26/2016
Last Update Date: 08/26/2016

Medicare PECOS Information:

PECOS PAC ID: 8224319645
Enrollment ID: I20161227000222

Medical Identifiers

Medical identifiers for Mitch Lillywhite such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396291753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	9739106-2401 (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. Mitch Lillywhite 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. Mitch Lillywhite 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
Mitch Lillywhite, DPT 4640 S 3500 W, West Haven, UT 84401-6521 Ph: (801) 689-0200	Mitch Lillywhite, DPT 4640 S 3500 W, West Haven, UT 84401-6521 Ph: (801) 689-0200

Reviews and Comments

Physical Therapist in West Haven, UT

Garrett Hardy Jones, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3476 W 4600 S, West Haven, UT 84401 Phone: 801-689-0200 Fax: 801-689-0201
Mr. Dennis Tracy Gilbert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4607 Midland Dr, Suit 201, West Haven, UT 84401 Phone: 801-732-8700 Fax: 801-732-2103
Chad Jeffrey Tenney, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3476 W 4600 S, West Haven, UT 84401 Phone: 801-689-0200 Fax: 801-689-0201
Justin Denis Longhurst, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4640 S 3500 W, Suite 3, West Haven, UT 84401 Phone: 801-689-0200 Fax: 801-689-0201
Kevin Hanni, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3476 W 4600 S, West Haven, UT 84401 Phone: 801-689-0200 Fax: 801-689-0201
Spine And Sports Physical Therapist Medicare: Medicare Enrolled Practice Location: 3476 W 4600 S, West Haven, UT 84401 Phone: 801-689-0200 Fax: 801-689-0201

Mitch Lillywhite, DPT - Medicare Physical Therapist in West Haven, UT