Wheelchair Clinic Inc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Draper, Utah. Their current practice location is
2021 E Village Green Cir Ste C, Draper, Utah. You can reach out to their office (for appointments etc.) via phone at
(833) 233-7875.
Wheelchair Clinic Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Wheelchair Clinic Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1265904064.
Healthcare Provider's Profile
| Full Name | Wheelchair Clinic Inc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 2021 E Village Green Cir Ste C, Draper, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265904064
- Provider Enumeration Date: 12/19/2018
- Last Update Date: 12/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 0941613590
- Enrollment ID: O20201229000473
Medical Identifiers
Medical identifiers for Wheelchair Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265904064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Wheelchair Clinic Inc acts as a billing entity for following providers:
| Provider Name | Mona D Oversteg |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1841416914
PECOS PAC ID: 9032216452
Enrollment ID: I20070521000065 |
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| Provider Name | Virgilio Enrico Pelaez Del Castillo |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1043647712
PECOS PAC ID: 6709013436
Enrollment ID: I20200413000772 |
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| Provider Name | Shannon O'connor |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1750992558
PECOS PAC ID: 2062810211
Enrollment ID: I20211001002760 |
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| Provider Name | Kristen Elise Ashley |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1063914091
PECOS PAC ID: 4183005226
Enrollment ID: I20220720001371 |
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| Provider Name | Hensen P Keetch |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1194409375
PECOS PAC ID: 6709247372
Enrollment ID: I20230728001631 |
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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. Wheelchair Clinic Inc 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 |
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Wheelchair Clinic Inc
2021 E Village Green Cir Ste C,
Draper, UT 84020-5500
Ph: (801) 440-5592 | Wheelchair Clinic Inc
2021 E Village Green Cir Ste C,
Draper, UT 84020-5500
Ph: (833) 233-7875 |
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