Dr Gordon Dale Mills Jr, NP - Medicare Nurse Practitioner in Provo, UT

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Dr Gordon Dale Mills Jr, NP is a medicare enrolled "Nurse Practitioner - Family" in Provo, Utah. His current practice location is 1055 N 500 W # 212, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 812-5033.

Dr Gordon Dale Mills Jr is licensed to practice in Utah (license number 294548-4405) 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 1205356250.

Contact Information

Dr Gordon Dale Mills Jr, NP
1055 N 500 W # 212,
Provo, UT 84604-3305
(801) 812-5033
Not Available

Map and Direction




Provider's Profile

Full NameDr Gordon Dale Mills Jr
GenderMale
SpecialityNurse Practitioner - Family
Location1055 N 500 W # 212, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205356250
  • Provider Enumeration Date: 06/21/2017
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264791870
  • Enrollment ID: I20180104001523

Medical Identifiers

Medical identifiers for Dr Gordon Dale Mills Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205356250NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 294548-4405 (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. Dr Gordon Dale Mills Jr allows following entities to bill medicare on his behalf.
Entity NameTooele Clinic Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073512364
PECOS PAC ID: 6800700873
Enrollment ID: O20031113000800
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Dr Gordon Dale Mills Jr 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 AddressPractice Location Address
Dr Gordon Dale Mills Jr, NP
1055 N 500 W # 212,
Provo, UT 84604-3305

Ph: (801) 812-5033		Dr Gordon Dale Mills Jr, NP
1055 N 500 W # 212,
Provo, UT 84604-3305

Ph: (801) 812-5033

Reviews and Comments


Nurse Practitioner Nurses in Provo, UT

Sharla Morgan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604
Phone: 801-356-1300    Fax: 801-356-1304
Ashley Saunders,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604
Phone: 801-812-5033    Fax: 801-812-5034
Mr. Michael Frank Gibson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604
Phone: 801-373-8930    Fax: 801-377-6811
Connie Denise Taylor, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606
Phone: 801-877-5801    Fax: 801-877-5802
Jennifer Lynn Osborne, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 500 W, Suite 101, Provo, UT 84604
Phone: 801-373-4366    Fax: 801-429-8191
Amber Elexis Marsh, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Cougar Blvd, Provo, UT 84604
Phone: 801-357-7850    
Melissa Sue Guest, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 750 N Freedom Blvd, Provo, UT 84601
Phone: 801-373-4760    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.