Jeffrey Scott Walsh, in Bountiful, UT - Medicare Nurse Practitioner

Jeffrey Scott Walsh, is a medicare enrolled "Nurse Practitioner - Primary Care" in Bountiful, Utah. His current practice location is 542 E 1600 S, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 979-4077.

Jeffrey Scott Walsh is licensed to practice in Utah (license number 10676959-4405) 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 1962070102.

Contact Information

	Jeffrey Scott Walsh,
	542 E 1600 S, Bountiful, UT 84010-4016
	(801) 979-4077
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeffrey Scott Walsh
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	542 E 1600 S, Bountiful, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962070102
Provider Enumeration Date: 06/15/2021
Last Update Date: 08/26/2022

Medicare PECOS Information:

PECOS PAC ID: 4981071396
Enrollment ID: I20221027001464

Medical Identifiers

Medical identifiers for Jeffrey Scott Walsh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962070102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	10676959-3102 (Utah)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	10676959-4405 (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. Jeffrey Scott Walsh allows following entities to bill medicare on his behalf.

Entity Name	Tanner Memorial Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132

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. Jeffrey Scott Walsh 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
Jeffrey Scott Walsh, 542 E 1600 S, Bountiful, UT 84010-4016 Ph: (801) 979-4077	Jeffrey Scott Walsh, 542 E 1600 S, Bountiful, UT 84010-4016 Ph: (801) 979-4077

Reviews and Comments

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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

Jeffrey Scott Walsh, - Medicare Nurse Practitioner in Bountiful, UT