Mountain West Podiatry Llc is a medicare enrolled "Podiatrist" provider in Centerville, Utah. Their current practice location is
380 S Main St, Centerville, Utah. You can reach out to their office (for appointments etc.) via phone at
(801) 447-1615.
Mountain West Podiatry Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mountain West Podiatry Llc
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 1235855669.
Healthcare Provider's Profile
| Full Name | Mountain West Podiatry Llc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 380 S Main St, Centerville, 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: 1235855669
- Provider Enumeration Date: 10/17/2022
- Last Update Date: 01/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618348616
- Enrollment ID: O20230131001225
Medical Identifiers
Medical identifiers for Mountain West Podiatry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235855669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | (* (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.
Mountain West Podiatry Llc acts as a billing entity for following providers:
| Provider Name | Melanie Muma |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1104370451
PECOS PAC ID: 4587922257
Enrollment ID: I20171229002081 |
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| Provider Name | Nathan Payne |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1760845473
PECOS PAC ID: 5193018976
Enrollment ID: I20230131002643 |
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| Provider Name | Nicholas Bernell Cloward |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1962278556
PECOS PAC ID: 8820439623
Enrollment ID: I20240510001452 |
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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. Mountain West Podiatry Llc 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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Mountain West Podiatry Llc
Po Box 607,
Centerville, UT 84014-0607
Ph: (807) 447-1615 | Mountain West Podiatry Llc
380 S Main St,
Centerville, UT 84014-2266
Ph: (801) 447-1615 |
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