Yvonne Potter Fuellenbach, PA-C is a medicare enrolled "Physician Assistant" physician in Murray, Utah. Her current practice location is
5848 Fashion Blvd Ste 110, Murray, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 314-4130.
Yvonne Potter Fuellenbach is licensed to practice in Utah (license number 264696-1206) 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 1063645554.
Physician's Profile
Full Name | Yvonne Potter Fuellenbach |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 5848 Fashion Blvd Ste 110, Murray, Utah |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063645554
- Provider Enumeration Date: 08/31/2009
- Last Update Date: 04/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 1759429475
- Enrollment ID: I20091117000307
Medical Identifiers
Medical identifiers for Yvonne Potter Fuellenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063645554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | APPLIED (Utah) | Secondary |
363A00000X | Physician Assistant | 264696-1206 (Utah) | Primary |
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. Yvonne Potter Fuellenbach 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 |
Yvonne Potter Fuellenbach, PA-C Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 314-4130 | Yvonne Potter Fuellenbach, PA-C 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 Ph: (801) 314-4130 |
Reviews and Comments