Jessica Harland Carlisle, NP in Salt Lake City, UT

Jessica Harland Carlisle, NP is a medicare enrolled "Nurse Practitioner" in Salt Lake City, Utah. Her current practice location is 36 S State St Fl 22, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 703-6721.

Jessica Harland Carlisle is licensed to practice in Utah (license number 3214414405) 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 1851017446.

Contact Information

	Jessica Harland Carlisle, NP
	36 S State St Fl 22, Salt Lake City, UT 84111-1470
	(801) 703-6721
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Harland Carlisle
Gender	Female
Speciality	Nurse Practitioner
Location	36 S State St Fl 22, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851017446
Provider Enumeration Date: 10/14/2022
Last Update Date: 05/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4284091703
Enrollment ID: I20230526001741

Medical Identifiers

Medical identifiers for Jessica Harland Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851017446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3214414405 (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. Jessica Harland Carlisle allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Jessica Harland Carlisle 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
Jessica Harland Carlisle, NP 5171 S Cottonwood St Ste 610, Salt Lake City, UT 84107-5741 Ph: (801) 507-3630	Jessica Harland Carlisle, NP 36 S State St Fl 22, Salt Lake City, UT 84111-1470 Ph: (801) 703-6721

Reviews and Comments

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Jessica Harland Carlisle, NP - Medicare Nurse Practitioner in Salt Lake City, UT