Jackie Bringhurst, APRN is a medicare enrolled "Nurse Practitioner - Family" in Mona, Utah. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
318 West 700 South, #62, Mona, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 367-9585.
Jackie Bringhurst is licensed to practice in Utah (license number 348575-4405) 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 1972172260.
Provider's Profile
| Full Name | Jackie Bringhurst |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 318 West 700 South, Mona, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jackie Bringhurst graduated from nursing school in 2021
NPI Data:
- NPI Number: 1972172260
- Provider Enumeration Date: 06/21/2021
- Last Update Date: 02/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931410586
- Enrollment ID: I20210826001635
Medical Identifiers
Medical identifiers for Jackie Bringhurst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972172260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 348575-3102 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 348575-4405 (Utah) | Primary |
Medical Facilities Affiliation
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. Jackie Bringhurst allows following entities to bill medicare on her behalf.
| Entity Name | Bryterson Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164168035
PECOS PAC ID: 3678958733
Enrollment ID: O20220910000467 |
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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. Jackie Bringhurst 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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Jackie Bringhurst, APRN
Po Box 62,
Mona, UT 84645-0062
Ph: (801) 367-9585 | Jackie Bringhurst, APRN
318 West 700 South, #62,
Mona, UT 84645-8464
Ph: (801) 367-9585 |
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