Dr Shalise Hali Owens, in Bountiful, UT - Medicare Nurse Practitioner

Dr Shalise Hali Owens, is a medicare enrolled "Nurse Practitioner - Family" in Bountiful, Utah. She went to University Of Utah School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rocky Mountain Dermatology Inc and her current practice location is 320 W 500 S Ste 210, Bountiful, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 797-9121.

Dr Shalise Hali Owens is licensed to practice in Utah (license number 8642517-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821583519.

Contact Information

	Dr Shalise Hali Owens,
	320 W 500 S Ste 210, Bountiful, UT 84010-7254
	(801) 797-9121
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Shalise Hali Owens
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	320 W 500 S Ste 210, Bountiful, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shalise Hali Owens attended and graduated from University Of Utah School Of Medicine in 2018

NPI Data:

NPI Number: 1821583519
Provider Enumeration Date: 06/26/2018
Last Update Date: 06/26/2018

Medicare PECOS Information:

PECOS PAC ID: 7618221599
Enrollment ID: I20181112002220

Medical Identifiers

Medical identifiers for Dr Shalise Hali Owens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821583519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	8642517-4405 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rocky Mountain Dermatology Inc	6002992906	10

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 Shalise Hali Owens allows following entities to bill medicare on her behalf.

Entity Name	Rocky Mountain Dermatology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154527372 PECOS PAC ID: 6002992906 Enrollment ID: O20080318000363

Entity Name	Legacy Dermatology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376944942 PECOS PAC ID: 5991022642 Enrollment ID: O20150318001018

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 Shalise Hali Owens 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
Dr Shalise Hali Owens, 320 W 500 S Ste 210, Bountiful, UT 84010-7254 Ph: (801) 797-9121	Dr Shalise Hali Owens, 320 W 500 S Ste 210, Bountiful, UT 84010-7254 Ph: (801) 797-9121

Reviews and Comments

Nurse Practitioner Nurses in Bountiful, UT

Kenzlee Wooden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 845 S Main St Ste A7, Bountiful, UT 84010 Phone: 801-298-0903
Daelyn Tasha Clawson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6670
Miss Lauren Lightfield, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 458 N 500 W, Bountiful, UT 84010 Phone: 801-292-9355 Fax: 801-296-8050
Sarah Elizabeth Mcmillin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W 3100 S, Bountiful, UT 84010 Phone: 801-668-7479
Mistie Sue Manning, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010 Phone: 801-747-7244
Dr. Rachel Starr Wagner Pollard, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 W 500 S Ste 210, Bountiful, UT 84010 Phone: 801-797-9121
Janice M Trump, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781

Dr Shalise Hali Owens, - Medicare Nurse Practitioner in Bountiful, UT