Mitchell Belliston, is a medicare enrolled "Physical Therapist - Orthopedic" provider in West Valley, Utah. His current practice location is
1685 W 2200 S, West Valley, Utah. You can reach out to his office (for appointments etc.) via phone at
(385) 224-8988.
Mitchell Belliston is licensed to practice in Utah (license number 13149266-2401) 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 1942062104.
Healthcare Provider's Profile
Full Name | Mitchell Belliston |
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Gender | Male |
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Speciality | Physical Therapist - Orthopedic |
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Location | 1685 W 2200 S, West Valley, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942062104
- Provider Enumeration Date: 01/24/2024
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638614670
- Enrollment ID: I20240714000013
Medical Identifiers
Medical identifiers for Mitchell Belliston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942062104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | 13149266-2401 (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. Mitchell Belliston allows following entities to bill medicare on his behalf.
Provider Name | Ihc Health Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
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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. Mitchell Belliston 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 |
Mitchell Belliston, 446 E 2320 N, Provo, UT 84604-1774 Ph: () - | Mitchell Belliston, 1685 W 2200 S, West Valley, UT 84119-1456 Ph: (385) 224-8988 |
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