Charles L Head, APRN in South Salt Lake, UT - Medicare Nurse Practitioner

Charles L Head, APRN is a medicare enrolled "Nurse Practitioner - Family" in South Salt Lake, Utah. His current practice location is 3838 S 700 E Ste 300, South Salt Lake, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 261-4988.

Charles L Head is licensed to practice in Utah (license number 9266563-4405) 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 1295423283.

Contact Information

	Charles L Head, APRN
	3838 S 700 E Ste 300, South Salt Lake, UT 84106-1496
	(801) 261-4988
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles L Head
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3838 S 700 E Ste 300, South Salt Lake, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295423283
Provider Enumeration Date: 04/27/2023
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 6709244437
Enrollment ID: I20230628000116

Medical Identifiers

Medical identifiers for Charles L Head such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295423283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9266563-4405 (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. Charles L Head allows following entities to bill medicare on his behalf.

Entity Name	Omega Interventional Pain Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417253907 PECOS PAC ID: 1254512775 Enrollment ID: O20110216000830

Entity Name	Wellbe Utah Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568183523 PECOS PAC ID: 6002292034 Enrollment ID: O20220928003465

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. Charles L Head 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
Charles L Head, APRN 3838 S 700 E Ste 300, South Salt Lake, UT 84106-1496 Ph: (801) 261-4988	Charles L Head, APRN 3838 S 700 E Ste 300, South Salt Lake, UT 84106-1496 Ph: (801) 261-4988

Reviews and Comments

Nurse Practitioner Nurses in South Salt Lake, UT

Jennifer Nicole Twohig, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186
Adam Thomas Creer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2880 S Main St Ste 108, South Salt Lake, UT 84115 Phone: 240-356-1000
Kristen Cox, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 E Farmer Alumni Dr, South Salt Lake, UT 84106 Phone: 385-227-2897
Zhan Wang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186
Leigh-andrew Thomas Sampson-seitz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3269 S Main St Ste 220, South Salt Lake, UT 84115 Phone: 801-656-7124 Fax: 385-243-3021
Dr. Emily Elizabeth Barrows, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846

Charles L Head, APRN - Medicare Nurse Practitioner in South Salt Lake, UT