Mesha Fagg, RDN CDCES in Layton, UT - Medicare Dietitian, Registered Provider

Mesha Fagg, RDN CDCES is a medicare enrolled "Dietitian, Registered" provider in Layton, Utah. Her current practice location is 3225 W Gordon Ave Ste 1, Layton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 397-6150.

Mesha Fagg is licensed to practice in Utah (license number 292168-4901) 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 1194450411.

Contact Information

	Mesha Fagg, RDN CDCES
	3225 W Gordon Ave Ste 1, Layton, UT 84041-5728
	(801) 397-6150
	(801) 397-6151

Map and Direction

Healthcare Provider's Profile

Full Name	Mesha Fagg
Gender	Female
Speciality	Dietitian, Registered
Location	3225 W Gordon Ave Ste 1, Layton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194450411
Provider Enumeration Date: 07/20/2022
Last Update Date: 07/20/2022

Medicare PECOS Information:

PECOS PAC ID: 7911373881
Enrollment ID: I20221018000547

Medical Identifiers

Medical identifiers for Mesha Fagg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194450411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	292168-4901 (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. Mesha Fagg allows following entities to bill medicare on her behalf.

Provider Name	Ogden Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780

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. Mesha Fagg 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
Mesha Fagg, RDN CDCES Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500	Mesha Fagg, RDN CDCES 3225 W Gordon Ave Ste 1, Layton, UT 84041-5728 Ph: (801) 397-6150

Reviews and Comments

Dietitian, Registered in Layton, UT

Taylor Chan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2984 N Hill Field Rd Ste A1, Layton, UT 84041 Phone: 443-987-7526
Lexie Jo Calloway Jex, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1916 N 700 W Ste 250, Layton, UT 84041 Phone: 801-397-6160
Natasha Lyn Mills, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 W Antelope Dr Bldg Room, Layton, UT 84041 Phone: 801-807-7360 Fax: 801-807-7363
Kelsey Bird, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1916 N 700 W Ste 250, Layton, UT 84041 Phone: 801-479-0312
Mrs. Julie Anne Hansen, M.S., R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1904 West Gordon Avenue, Layton, UT 84041 Phone: 801-444-0794
Mrs. Nichole Laura Stahle, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 801-807-7179

Mesha Fagg, RDN CDCES - Medicare Dietitian in Layton, UT