Dr Michelle Eva Morholt, DNP, ARNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake Cty, Utah. Her current practice location is
53 E Redondo Ave, Salt Lake Cty, Utah. You can reach out to her office (for appointments etc.) via phone at
(206) 596-3101.
Dr Michelle Eva Morholt is licensed to practice in Washington (license number AP61020139) 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 1508403197.
Provider's Profile
| Full Name | Dr Michelle Eva Morholt |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 53 E Redondo Ave, Salt Lake Cty, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508403197
- Provider Enumeration Date: 12/03/2019
- Last Update Date: 03/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729415393
- Enrollment ID: I20200219002969
Medical Identifiers
Medical identifiers for Dr Michelle Eva Morholt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508403197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP61020139 (Washington) | 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 Michelle Eva Morholt allows following entities to bill medicare on her behalf.
| Entity Name | Grays Harbor Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154378859
PECOS PAC ID: 3577462365
Enrollment ID: O20031231000081 |
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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. Dr Michelle Eva Morholt 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 |
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Dr Michelle Eva Morholt, DNP, ARNP, FNP-C
53 E Redondo Ave,
Salt Lake City, UT 84115-2304
Ph: (801) 599-3964 | Dr Michelle Eva Morholt, DNP, ARNP, FNP-C
53 E Redondo Ave,
Salt Lake Cty, UT 84115-2304
Ph: (206) 596-3101 |
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