Ashlee Brynn Fenton, FNP in Salt Lake City, UT

Ashlee Brynn Fenton, FNP is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. Her current practice location is 1160 E 3900 S Ste G200, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 268-7766.

Ashlee Brynn Fenton is licensed to practice in Utah (license number 6258162-4405) 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 1003682105.

Contact Information

	Ashlee Brynn Fenton, FNP
	1160 E 3900 S Ste G200, Salt Lake City, UT 84124-1224
	(801) 268-7766
	Not Available

Map and Direction

Provider's Profile

Full Name	Ashlee Brynn Fenton
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1160 E 3900 S Ste G200, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003682105
Provider Enumeration Date: 11/29/2023
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2961944954
Enrollment ID: I20240605002881

Medical Identifiers

Medical identifiers for Ashlee Brynn Fenton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003682105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	6258162-4405 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	6258162-4405 (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. Ashlee Brynn Fenton allows following entities to bill medicare on her behalf.

Entity Name	St Marks Physician Billing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922342732 PECOS PAC ID: 6103061072 Enrollment ID: O20130325000327

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. Ashlee Brynn Fenton 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
Ashlee Brynn Fenton, FNP Po Box 742382, Atlanta, GA 30374-2382 Ph: () -	Ashlee Brynn Fenton, FNP 1160 E 3900 S Ste G200, Salt Lake City, UT 84124-1224 Ph: (801) 268-7766

Reviews and Comments

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Ashlee Brynn Fenton, FNP - Medicare Nurse Practitioner in Salt Lake City, UT