Martha Fern Southwick, NP in West Jordan, UT - Medicare Nurse Practitioner

Martha Fern Southwick, NP is a medicare enrolled "Nurse Practitioner - Family" in West Jordan, Utah. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mindful Healing Llc and her current practice location is 8541 S Redwood Rd Ste C2, West Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 432-7712.

Martha Fern Southwick is licensed to practice in Utah (license number 2000204405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568685550.

Contact Information

	Martha Fern Southwick, NP
	8541 S Redwood Rd Ste C2, West Jordan, UT 84088
	(801) 432-7712
	(866) 817-1629

Map and Direction

Provider's Profile

Full Name	Martha Fern Southwick
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	8541 S Redwood Rd Ste C2, West Jordan, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Martha Fern Southwick graduated from nursing school in 1998

NPI Data:

NPI Number: 1568685550
Provider Enumeration Date: 04/10/2007
Last Update Date: 06/06/2018

Medicare PECOS Information:

PECOS PAC ID: 4789944729
Enrollment ID: I20180212001929

Medical Identifiers

Medical identifiers for Martha Fern Southwick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568685550	NPI	-	NPPES
1017129	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2000204405 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mindful Healing Llc	6002169901	2

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. Martha Fern Southwick allows following entities to bill medicare on her behalf.

Entity Name	Mindful Healing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346732765 PECOS PAC ID: 6002169901 Enrollment ID: O20190821001903

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. Martha Fern Southwick 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
Martha Fern Southwick, NP 1947 Kate Cv, West Jordan, UT 84088-6631 Ph: (801) 561-2280	Martha Fern Southwick, NP 8541 S Redwood Rd Ste C2, West Jordan, UT 84088 Ph: (801) 432-7712

Reviews and Comments

Nurse Practitioner Nurses in West Jordan, UT

Peggy Anne Jerome, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8537 Redwood Rd, Suite A - Main Level, West Jordan, UT 84088 Phone: 801-568-2898
Megan Bliss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677
Gaylinn Breeze, APRN, AGPCNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7093 S 2980 W, West Jordan, UT 84084 Phone: 801-554-2849
Elizabeth Huser, FNP-BC, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 S Redwood Rd, West Jordan, UT 84084 Phone: 000-000-0000
Karty Dormera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3895 W 7800 S Ste 100, West Jordan, UT 84088 Phone: 801-280-7774 Fax: 801-748-2790
Kim Sundstrom, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9289 S Redwood Rd Ste C, West Jordan, UT 84088 Phone: 801-568-2898
Bari Michelle King, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3570 W 9000 S, Suite, 100, West Jordan, UT 84088 Phone: 801-569-1999 Fax: 801-569-2001

Martha Fern Southwick, NP - Medicare Nurse Practitioner in West Jordan, UT