Fatima Gangotena-bernard, MD - Medicare Internal Medicine in Salt Lake City, UT

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Fatima Gangotena-bernard, MD is a medicare enrolled "Internal Medicine" physician in Salt Lake City, Utah. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Utah Regional Hospitalists Llc and her current practice location is 144 S 500 E, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 783-5011.

Fatima Gangotena-bernard is licensed to practice in Utah (license number 7748728-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467605147.

Contact Information

Fatima Gangotena-bernard, MD
144 S 500 E,
Salt Lake City, UT 84102-1907
(801) 783-5011
Not Available

Map and Direction




Physician's Profile

Full NameFatima Gangotena-bernard
GenderFemale
SpecialityInternal Medicine
Experience23 Years
Location144 S 500 E, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Fatima Gangotena-bernard graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1467605147
  • Provider Enumeration Date: 10/28/2008
  • Last Update Date: 09/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5698943397
  • Enrollment ID: I20110725000413

Medical Identifiers

Medical identifiers for Fatima Gangotena-bernard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467605147NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 7748728-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jordan Valley Medical CenterWest jordan, UTHospital
Meadow Peak RehabilitationTaylorsville, UTNursing home
St Joseph VillaSalt lake city, UTNursing home
Copper Ridge Health CareWest jordan, UTNursing home
Avalon West Health & RehabilitationSalt lake city, UTNursing home
Woodland Park Rehabilitation And Care CenterSalt lake city, UTNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Utah Regional Hospitalists Llc4789807165128

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. Fatima Gangotena-bernard allows following entities to bill medicare on her behalf.
Entity NameUtah Regional Hospitalists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962821223
PECOS PAC ID: 4789807165
Enrollment ID: O20140604000236
Entity NameSantibanez Aguirre Slc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609334911
PECOS PAC ID: 0345582383
Enrollment ID: O20190423002734
Entity NameUsacs Long Term Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881373090
PECOS PAC ID: 2466806062
Enrollment ID: O20231018003756

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. Fatima Gangotena-bernard 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 AddressPractice Location Address
Fatima Gangotena-bernard, MD
144 S 500 E,
Salt Lake City, UT 84102-1907

Ph: (801) 783-5011		Fatima Gangotena-bernard, MD
144 S 500 E,
Salt Lake City, UT 84102-1907

Ph: (801) 783-5011

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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