NPIMap

Integrated Functional Medicine

A Medicare group practice based in South Jordan, UT: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4789814351), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4789814351The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Integrated Functional Medicine, LLCName in Care Compare
Provider type
DME Supplier - Medical Supply Company With Orthotic-Prosthetic, Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
3
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20140226001532 UT Part B Supplier - Clinic/Group Practice 1629407697
O20200520002590 UT DME Supplier - Medical Supply Company With Orthotic-Prosthetic 1629407697
O20231114001811 UT DME Supplier - Medical Supply Company With Orthotic-Prosthetic 1568168102

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (14).

Sources for this page