Kenzlee Wooden, in Bountiful, UT - Medicare Nurse Practitioner

Kenzlee Wooden, is a medicare enrolled "Nurse Practitioner - Adult Health" in Bountiful, Utah. Her current practice location is 845 S Main St Ste A7, Bountiful, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 298-0903.

Kenzlee Wooden is licensed to practice in Utah (license number 9158154-8900) 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 1043851116.

Contact Information

	Kenzlee Wooden,
	845 S Main St Ste A7, Bountiful, UT 84010-6482
	(801) 298-0903
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenzlee Wooden
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	845 S Main St Ste A7, Bountiful, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043851116
Provider Enumeration Date: 09/30/2019
Last Update Date: 09/30/2019

Medicare PECOS Information:

PECOS PAC ID: 2264867795
Enrollment ID: I20200110001166

Medical Identifiers

Medical identifiers for Kenzlee Wooden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043851116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	9158154-8900 (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. Kenzlee Wooden allows following entities to bill medicare on her behalf.

Entity Name	Freedom Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770916306 PECOS PAC ID: 7416181953 Enrollment ID: O20131016000638

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. Kenzlee Wooden 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
Kenzlee Wooden, 5671 S 650 E, Washington Terrace, UT 84405-1201 Ph: (801) 678-2518	Kenzlee Wooden, 845 S Main St Ste A7, Bountiful, UT 84010-6482 Ph: (801) 298-0903

Reviews and Comments

Nurse Practitioner Nurses in Bountiful, UT

Daelyn Tasha Clawson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6670
Miss Lauren Lightfield, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 458 N 500 W, Bountiful, UT 84010 Phone: 801-292-9355 Fax: 801-296-8050
Sarah Elizabeth Mcmillin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W 3100 S, Bountiful, UT 84010 Phone: 801-668-7479
Mistie Sue Manning, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010 Phone: 801-747-7244
Dr. Rachel Starr Wagner Pollard, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 W 500 S Ste 210, Bountiful, UT 84010 Phone: 801-797-9121
Janice M Trump, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781

Kenzlee Wooden, - Medicare Nurse Practitioner in Bountiful, UT