Jeremy E Gillen, in Ogden, UT - Medicare Nurse Anesthetist, Certified Registered

Jeremy E Gillen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ogden, Utah. His current practice location is 5475 S 500 E, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 831-2387.

Jeremy E Gillen is licensed to practice in Utah (license number 9640421-4406) 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 1710508429.

Contact Information

	Jeremy E Gillen,
	5475 S 500 E, Ogden, UT 84405-6905
	(801) 831-2387
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeremy E Gillen
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	5475 S 500 E, Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710508429
Provider Enumeration Date: 05/04/2020
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 1456734698
Enrollment ID: I20220819002273

Medical Identifiers

Medical identifiers for Jeremy E Gillen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710508429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN9532686 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	9640421-4406 (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. Jeremy E Gillen allows following entities to bill medicare on his behalf.

Entity Name	Rocky Mountain Anesthesiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487683215 PECOS PAC ID: 6305809492 Enrollment ID: O20041109001170

Entity Name	Nph Anesthesia Of Utah Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268

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. Jeremy E Gillen 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
Jeremy E Gillen, 2797 W 2100 N, Clinton, UT 84015-7693 Ph: (801) 831-2387	Jeremy E Gillen, 5475 S 500 E, Ogden, UT 84405-6905 Ph: (801) 831-2387

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Ogden, UT

Jenny L Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 800-880-3566 Fax: 801-733-5872
Joseph Reyna, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2468 Fax: 801-479-2936
Krystal Mae Tipping, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 S 1500 W, Ogden, UT 84404 Phone: 801-710-1161
Layne B Croxford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4364 Washington Blvd, Ogden, UT 84403 Phone: 801-479-4470
Rebecca Jo Santek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-727-2056 Fax: 770-701-6675
Richard C Torman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 800-880-3566 Fax: 801-733-5872
Rock E. Harper, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 800-880-3566 Fax: 801-733-5872

Jeremy E Gillen, - Medicare Nurse Anesthetist, Certified Registered in Ogden, UT