Bernard M Mutie, APRN in Draper, UT - Medicare Nurse Practitioner

Bernard M Mutie, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Draper, Utah. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Santibanez Pac Utah, Utah Regional Hospitalists Llc and his current practice location is 12433 S Fort St, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 576-1086.

Bernard M Mutie is licensed to practice in Utah (license number 79878114405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396255360.

Contact Information

	Bernard M Mutie, APRN
	12433 S Fort St, Draper, UT 84020-9363
	(801) 576-1086
	(801) 576-9796

Map and Direction

Provider's Profile

Full Name	Bernard M Mutie
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	12433 S Fort St, Draper, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bernard M Mutie graduated from nursing school in 2017

NPI Data:

NPI Number: 1396255360
Provider Enumeration Date: 10/04/2017
Last Update Date: 06/11/2020

Medicare PECOS Information:

PECOS PAC ID: 0749547891
Enrollment ID: I20171128003813

Medical Identifiers

Medical identifiers for Bernard M Mutie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396255360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	79878114405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mckay Dee Hospital	Ogden, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Santibanez Pac Utah	1355785437	20
Utah Regional Hospitalists Llc	4789807165	128

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. Bernard M Mutie allows following entities to bill medicare on his behalf.

Entity Name	Pioneer Comprehensive Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891975595 PECOS PAC ID: 9537192570 Enrollment ID: O20050912000456

Entity Name	Utah Regional Hospitalists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236

Entity Name	Usacs Long Term Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881373090 PECOS PAC ID: 2466806062 Enrollment ID: O20231018003756

Entity Name	Santibanez Pac Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881469484 PECOS PAC ID: 1355785437 Enrollment ID: O20240216000756

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. Bernard M Mutie 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
Bernard M Mutie, APRN 5505 S 900 E, Holladay, UT 84117-7209 Ph: (801) 783-5011	Bernard M Mutie, APRN 12433 S Fort St, Draper, UT 84020-9363 Ph: (801) 576-1086

Reviews and Comments

Nurse Practitioner Nurses in Draper, UT

Catherine Schultz, DNP, MN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 E 12300 S Ste R400, Draper, UT 84020 Phone: 385-287-1877
Angela Rosa, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 656 E 11400 S Ste N, Draper, UT 84020 Phone: 801-849-1604
Lehai Lily Austin, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2050
Paige Hess, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12276 S 1300 E, Draper, UT 84020 Phone: 801-572-7835
Carlie Jo Hamilton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12272 S 800 E, Suite A, Draper, UT 84020 Phone: 801-523-1300 Fax: 801-523-1301
Tracy Lynn Hanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 260, Draper, UT 84020 Phone: 801-545-8480
Tumu Jeremy Asuao, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12176 S 1000 E Ste 4, Draper, UT 84020 Phone: 800-640-3451

Bernard M Mutie, APRN - Medicare Nurse Practitioner in Draper, UT