Katherine Brunner, DNP in Riverton, UT - Medicare Nurse Practitioner

Katherine Brunner, DNP is a medicare enrolled "Nurse Practitioner" in Riverton, Utah. Her current practice location is 12391 S 4000 W, Riverton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 965-3600.

Katherine Brunner is licensed to practice in Utah (license number 359323-3102) 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 1710689609.

Contact Information

	Katherine Brunner, DNP
	12391 S 4000 W, Riverton, UT 84096-7012
	(801) 965-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Brunner
Gender	Female
Speciality	Nurse Practitioner
Location	12391 S 4000 W, Riverton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710689609
Provider Enumeration Date: 03/22/2023
Last Update Date: 05/29/2024

Medicare PECOS Information:

PECOS PAC ID: 0244774131
Enrollment ID: I20240702003985

Medical Identifiers

Medical identifiers for Katherine Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710689609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	359323-3102 (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. Katherine Brunner allows following entities to bill medicare on her behalf.

Entity Name	Granger Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159

Entity Name	Granger Medical Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207

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. Katherine Brunner 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
Katherine Brunner, DNP 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-8360	Katherine Brunner, DNP 12391 S 4000 W, Riverton, UT 84096-7012 Ph: (801) 965-3600

Reviews and Comments

Nurse Practitioner Nurses in Riverton, UT

Mr. Timothy S Garvey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3741 W 12600 S, Outpatient Services, Riverton, UT 84065 Phone: 801-285-1285
Jamie Camille Barker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 430, Riverton, UT 84065 Phone: 801-322-3222
Mekenna Andree Bermingham, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 330, Riverton, UT 84065 Phone: 801-285-4543 Fax: 801-285-4540
Dustin Keith Jones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1756 W Park Ave, Riverton, UT 84065 Phone: 801-254-0309
Aubrey Rochelle George, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12391 S 4000 W, Riverton, UT 84096 Phone: 801-302-1700
Anthony Cabri, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4546 W Park Hollow Ln, Riverton, UT 84096 Phone: 801-893-1451 Fax: 385-388-1041
Kirsten Nelson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1420 W 12600 S, Riverton, UT 84065 Phone: 801-254-4600

Katherine Brunner, DNP - Medicare Nurse Practitioner in Riverton, UT