Deven Willardson, BSN, RN in Logan, UT - Medicare Nurse Practitioner

Deven Willardson, BSN, RN is a medicare enrolled "Nurse Practitioner" in Logan, Utah. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mountain View Hospital Llc and his current practice location is 1350 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 716-2800.

Deven Willardson is licensed to practice in Utah (license number 8510230-4405) 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 1376033456.

Contact Information

	Deven Willardson, BSN, RN
	1350 N 500 E, Logan, UT 84341-2400
	(435) 716-2800
	Not Available

Map and Direction

Provider's Profile

Full Name	Deven Willardson
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	1350 N 500 E, Logan, 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:

Deven Willardson graduated from nursing school in 2018

NPI Data:

NPI Number: 1376033456
Provider Enumeration Date: 05/15/2018
Last Update Date: 03/26/2019

Medicare PECOS Information:

PECOS PAC ID: 0446500615
Enrollment ID: I20210810003479

Medical Identifiers

Medical identifiers for Deven Willardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376033456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	8510230-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain View Hospital	Idaho falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain View Hospital Llc	4486562774	188

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. Deven Willardson allows following entities to bill medicare on his behalf.

Entity Name	Mountain View Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343

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. Deven Willardson 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
Deven Willardson, BSN, RN Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Deven Willardson, BSN, RN 1350 N 500 E, Logan, UT 84341-2400 Ph: (435) 716-2800

Reviews and Comments

Nurse Practitioner Nurses in Logan, UT

Sarah Hope Horton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 N 600 E Ste 101, Logan, UT 84341 Phone: 435-213-3970
Lisa Shea Roberts, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 E 100 N, Suite 303, Logan, UT 84321 Phone: 435-760-7078
Mandi Spens, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 E 1400 N Ste T, Logan, UT 84341 Phone: 435-716-1320
Todd Hamblin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1130 Fax: 435-719-1131
Mr. Kyle J Higginson, AG-ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 939 Us-89 #1, Logan, UT 84321 Phone: 801-669-3534
Mr. Tod Michael Morrison, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E 1400 N Ste 150, Logan, UT 84341 Phone: 435-915-4465 Fax: 435-799-3664
Emily Fonua, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N Ste I, Logan, UT 84341 Phone: 435-753-1545 Fax: 435-753-3153

Deven Willardson, BSN, RN - Medicare Nurse Practitioner in Logan, UT