Judy De La Vega, in Spanish Fork, UT - Medicare Nurse Practitioner

Judy De La Vega, is a medicare enrolled "Nurse Practitioner - Family" in Spanish Fork, Utah. Her current practice location is 972 N 600 E, Spanish Fork, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 465-4896.

Judy De La Vega is licensed to practice in Utah (license number 13470553-4405) 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 1376242644.

Contact Information

	Judy De La Vega,
	972 N 600 E, Spanish Fork, UT 84660-1306
	(801) 465-4896
	(385) 203-0392

Map and Direction

Provider's Profile

Full Name	Judy De La Vega
Gender	Female
Speciality	Nurse Practitioner - Family
Location	972 N 600 E, Spanish Fork, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376242644
Provider Enumeration Date: 02/27/2023
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 0143673467
Enrollment ID: I20240201004270

Medical Identifiers

Medical identifiers for Judy De La Vega such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376242644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	947995 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	13470553-4405 (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. Judy De La Vega allows following entities to bill medicare on her behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Judy De La Vega 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
Judy De La Vega, 1055 N 500 W, Att Credentialing, Provo, UT 84604 Ph: (801) 354-8225	Judy De La Vega, 972 N 600 E, Spanish Fork, UT 84660-1306 Ph: (801) 465-4896

Reviews and Comments

Nurse Practitioner Nurses in Spanish Fork, UT

Lacey Rose Winkel, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 972 N 600 E, Spanish Fork, UT 84660 Phone: 801-465-4896 Fax: 801-465-3267
Ms. Jessica Newberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 819 E Market Place Dr, Spanish Fork, UT 84660 Phone: 385-344-6600 Fax: 385-344-6605
Carly Lynne Peterson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1033 W 450 S, Spanish Fork, UT 84660 Phone: 801-471-9201
Mr. Brian Christensen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 N Main St, Spanish Fork, UT 84660 Phone: 801-798-2515 Fax: 801-798-2510
Katie Bates, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 W 100 S, Spanish Fork, UT 84660 Phone: 801-798-7301
Lindsay Leonard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 972 N 600 E, Spanish Fork, UT 84660 Phone: 385-265-6060
Samantha Howard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 W 100 S, Spanish Fork, UT 84660 Phone: 801-798-7301 Fax: 801-798-8513

Judy De La Vega, - Medicare Nurse Practitioner in Spanish Fork, UT