Landon Ryan Bowerbank, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lehi, Utah. His current practice location is
3300 N Running Creek Way Bldg C Suite 300, Bldg C Suite 300, Lehi, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 901-4333.
Landon Ryan Bowerbank is licensed to practice in Utah (license number 13221936-0501) 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 1083234975.
Healthcare Provider's Profile
Full Name | Landon Ryan Bowerbank |
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Gender | Male |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 3300 N Running Creek Way Bldg C Suite 300, Lehi, 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: 1083234975
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 06/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527480318
- Enrollment ID: I20230712000413
Medical Identifiers
Medical identifiers for Landon Ryan Bowerbank such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083234975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 13221936-0501 (Utah) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 13221936-0501 (Utah) | Primary |
213ES0131X | Podiatrist - Foot Surgery | 13221936-0501 (Utah) | Secondary |
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. Landon Ryan Bowerbank allows following entities to bill medicare on his behalf.
Provider Name | Ellsworth Foot And Ankle Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1942549795 PECOS PAC ID: 2062778160 Enrollment ID: O20211110001673 |
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Provider Name | Pioneer Foot And Ankle, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1144085093 PECOS PAC ID: 2062853708 Enrollment ID: O20240513003477 |
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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. Landon Ryan Bowerbank 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 |
Landon Ryan Bowerbank, DPM 3300 N Running Creek Way Bldg C Suite 300, Bldg C Suite 300, Lehi, UT 84043-3654 Ph: (801) 901-4333 | Landon Ryan Bowerbank, DPM 3300 N Running Creek Way Bldg C Suite 300, Bldg C Suite 300, Lehi, UT 84043 Ph: (801) 901-4333 |
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