Amy Lynn Dalton, in Provo, UT - Medicare Nurse Practitioner

Amy Lynn Dalton, is a medicare enrolled "Nurse Practitioner" in Provo, Utah. Her current practice location is 1055 N 500 W Bldg A, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 812-5033.

Amy Lynn Dalton is licensed to practice in Utah (license number 10105657-4405) 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 1104433606.

Contact Information

	Amy Lynn Dalton,
	1055 N 500 W Bldg A, Provo, UT 84604-3305
	(801) 812-5033
	(801) 418-0941

Map and Direction

Provider's Profile

Full Name	Amy Lynn Dalton
Gender	Female
Speciality	Nurse Practitioner
Location	1055 N 500 W Bldg A, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104433606
Provider Enumeration Date: 09/28/2020
Last Update Date: 02/05/2021

Medicare PECOS Information:

PECOS PAC ID: 5395150874
Enrollment ID: I20210215001718

Medical Identifiers

Medical identifiers for Amy Lynn Dalton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104433606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10105657-4405 (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. Amy Lynn Dalton allows following entities to bill medicare on her behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Amy Lynn Dalton 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
Amy Lynn Dalton, 1055 N 500 W, Provo, UT 84604-3305 Ph: (801) 354-8225	Amy Lynn Dalton, 1055 N 500 W Bldg A, Provo, UT 84604-3305 Ph: (801) 812-5033

Reviews and Comments

Nurse Practitioner Nurses in Provo, UT

Sharla Morgan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-356-1300 Fax: 801-356-1304
Ashley Saunders, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 Fax: 801-812-5034
Mr. Michael Frank Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811
Connie Denise Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606 Phone: 801-877-5801 Fax: 801-877-5802
Jennifer Lynn Osborne, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-429-8191
Amber Elexis Marsh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd, Provo, UT 84604 Phone: 801-357-7850
Melissa Sue Guest, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760

Amy Lynn Dalton, - Medicare Nurse Practitioner in Provo, UT