Stephanie Ann Obradovich, PT in Salt Lake City, UT - Medicare Physical Therapist Provider

Stephanie Ann Obradovich, PT is a medicare enrolled "Physical Therapist - Neurology" provider in Salt Lake City, Utah. Her current practice location is 5770 S 250 E, Suite G, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 314-2097.

Stephanie Ann Obradovich is licensed to practice in Utah (license number 107349-2401) 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 1255452306.

Contact Information

	Stephanie Ann Obradovich, PT
	5770 S 250 E, Suite G, Salt Lake City, UT 84107-8100
	(801) 314-2097
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Ann Obradovich
Gender	Female
Speciality	Physical Therapist - Neurology
Location	5770 S 250 E, 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: 1255452306
Provider Enumeration Date: 04/03/2007
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 9739528191
Enrollment ID: I20240417003439

Medical Identifiers

Medical identifiers for Stephanie Ann Obradovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255452306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251N0400X	Physical Therapist - Neurology	107349-2401 (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. Stephanie Ann Obradovich allows following entities to bill medicare on her 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. Stephanie Ann Obradovich 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
Stephanie Ann Obradovich, PT 5770 S 250 E, Suite G, Salt Lake City, UT 84107-8100 Ph: (801) 314-2097	Stephanie Ann Obradovich, PT 5770 S 250 E, Suite G, Salt Lake City, UT 84107-8100 Ph: (801) 314-2097

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

Stephanie Ann Obradovich, PT - Medicare Physical Therapist in Salt Lake City, UT