Austin King Fackler, FNP-C - Medicare Nurse Practitioner in Erda, UT

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Austin King Fackler, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Erda, Utah. His current practice location is 5132 Heidi Way, Erda, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 773-8173.

Austin King Fackler is licensed to practice in Utah (license number 11081203-4405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437871514.

Contact Information

Austin King Fackler, FNP-C
5132 Heidi Way,
Erda, UT 84074-9246
(435) 773-8173
Not Available

Map and Direction




Provider's Profile

Full NameAustin King Fackler
GenderMale
SpecialityNurse Practitioner - Family
Location5132 Heidi Way, Erda, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437871514
  • Provider Enumeration Date: 09/14/2022
  • Last Update Date: 09/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072982578
  • Enrollment ID: I20221205002547

Medical Identifiers

Medical identifiers for Austin King Fackler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437871514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11081203-4405 (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. Austin King Fackler allows following entities to bill medicare on his behalf.
Entity NameTooele Clinic Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073512364
PECOS PAC ID: 6800700873
Enrollment ID: O20031113000800
Entity NameMmg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295392645
PECOS PAC ID: 5991039489
Enrollment ID: O20190703001917

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. Austin King Fackler 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
Austin King Fackler, FNP-C
5132 Heidi Way,
Erda, UT 84074-9246

Ph: (435) 773-8173		Austin King Fackler, FNP-C
5132 Heidi Way,
Erda, UT 84074-9246

Ph: (435) 773-8173

Reviews and Comments


Nurse Practitioner Nurses in Erda, UT

Mr. Mike Rady, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4638 Autumn Cv, Erda, UT 84074
Phone: 435-830-6424    
Dr. Emily Marie Smith, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 581 W Charley Way, Erda, UT 84074
Phone: 575-520-2164    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.