Camrey Dawn Tuttle, is a medicare enrolled "Nurse Practitioner - Family" in Orangeville, Utah. Her current practice location is
120 S 100 W, Orangeville, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 609-6584.
Camrey Dawn Tuttle is licensed to practice in Utah (license number 11582197-4405) 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 1427660737.
Provider's Profile
Full Name | Camrey Dawn Tuttle |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 120 S 100 W, Orangeville, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427660737
- Provider Enumeration Date: 08/18/2020
- Last Update Date: 12/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668833997
- Enrollment ID: I20230802001691
Medical Identifiers
Medical identifiers for Camrey Dawn Tuttle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427660737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WM0705X | Registered Nurse - Medical-surgical | 115821973102 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11582197-4405 (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. Camrey Dawn Tuttle allows following entities to bill medicare on her behalf.
Entity Name | Shane D Gagon Md, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982815064 PECOS PAC ID: 9335236868 Enrollment ID: O20071031000379 |
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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. Camrey Dawn Tuttle 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 |
Camrey Dawn Tuttle, Po Box 204, Orangeville, UT 84537-0204 Ph: (435) 609-6584 | Camrey Dawn Tuttle, 120 S 100 W, Orangeville, UT 84537-7834 Ph: (435) 609-6584 |
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