Kelsie Marietti, NP in Brigham City, UT - Medicare Nurse Practitioner

Kelsie Marietti, NP is a medicare enrolled "Nurse Practitioner - Family" in Brigham City, Utah. Her current practice location is 867 N 575 W, Brigham City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 564-9678.

Kelsie Marietti is licensed to practice in Utah (license number 9901000-4405) 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 1902509482.

Contact Information

	Kelsie Marietti, NP
	867 N 575 W, Brigham City, UT 84302-4455
	(801) 564-9678
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsie Marietti
Gender	Female
Speciality	Nurse Practitioner - Family
Location	867 N 575 W, Brigham 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: 1902509482
Provider Enumeration Date: 03/23/2023
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 9133574205
Enrollment ID: I20231010000333

Medical Identifiers

Medical identifiers for Kelsie Marietti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902509482	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9901000-4405 (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. Kelsie Marietti 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. Kelsie Marietti 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
Kelsie Marietti, NP 867 N 575 W, Brigham City, UT 84302-4455 Ph: (801) 564-9678	Kelsie Marietti, NP 867 N 575 W, Brigham City, UT 84302-4455 Ph: (801) 564-9678

Reviews and Comments

Nurse Practitioner Nurses in Brigham City, UT

Justin Michael Woodruff, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 663 Parker Lane, Brigham City, UT 84302 Phone: 435-734-9449
Miranda Buttars, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 S Medical Dr, Brigham City, UT 84302 Phone: 435-310-5800
Lindee P Allen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W Hospital Rd, Brigham City, UT 84302 Phone: 435-734-2041 Fax: 435-723-8028
Mr. Kirk Russell Waldron, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 S 200 E Ste 102, Brigham City, UT 84302 Phone: 801-513-9652
Lynn C Larsen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 984 Medical Dr Ste 1, Brigham City, UT 84302 Phone: 435-723-5248 Fax: 435-723-5240
Katie Marie Cummings, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 903 S Main St Ste A, Brigham City, UT 84302 Phone: 801-941-6770
Julie C. Child, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 South Medical Drive, Ste 101, Brigham City, UT 84302 Phone: 435-538-1733 Fax: 435-538-1752

Kelsie Marietti, NP - Medicare Nurse Practitioner in Brigham City, UT