Brenda Mueggenborg, PNP in Salt Lake City, UT

Brenda Mueggenborg, PNP is a medicare enrolled "Nurse Practitioner" in Salt Lake City, Utah. Her current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-2121.

Brenda Mueggenborg is licensed to practice in Utah (license number 324632-4405) 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 1154371466.

Contact Information

	Brenda Mueggenborg, PNP
	50 N Medical Dr, Salt Lake City, UT 84132-0001
	(801) 581-2121
	Not Available

Map and Direction

Provider's Profile

Full Name	Brenda Mueggenborg
Gender	Female
Speciality	Nurse Practitioner
Location	50 N Medical Dr, 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: 1154371466
Provider Enumeration Date: 05/10/2006
Last Update Date: 11/08/2021

Medicare PECOS Information:

PECOS PAC ID: 5890772271
Enrollment ID: I20040702000692

Medical Identifiers

Medical identifiers for Brenda Mueggenborg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154371466	NPI	-	NPPES
0437223	Medicaid	MT
D3855	Medicaid	UT
QM0000037482	Other		ALTIUS #
8101	Other		UNIVERSITY HEALTH PLANS #
500019103	Other		MEDICARE RAILROAD #
58298	Other		PEHP #
887303	Other		DMBA #
32463244000001	Other		REGENCE BCBS OF UTAH #
806014400	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	324632-4405 (Utah)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	324632-4405 (Utah)	Secondary
363L00000X	Nurse Practitioner	324632-4405 (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. Brenda Mueggenborg allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Brenda Mueggenborg 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
Brenda Mueggenborg, PNP Po Box 581700, Salt Lake City, UT 84158-1700 Ph: (801) 581-2121	Brenda Mueggenborg, PNP 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-2121

Reviews and Comments

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Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
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Brenda Mueggenborg, PNP - Medicare Nurse Practitioner in Salt Lake City, UT