Mr Braden Wilson Wolthuis, ACNP in Ogden, UT - Medicare Nurse Practitioner

Mr Braden Wilson Wolthuis, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Ogden, Utah. His current practice location is 4401 Harrison Boulevard, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 387-2371.

Mr Braden Wilson Wolthuis is licensed to practice in Utah (license number 8055787-4405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629342548.

Contact Information

	Mr Braden Wilson Wolthuis, ACNP
	4401 Harrison Boulevard, Ogden, UT 84403
	(801) 387-2371
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Braden Wilson Wolthuis
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	4401 Harrison Boulevard, Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629342548
Provider Enumeration Date: 02/24/2012
Last Update Date: 06/18/2019

Medicare PECOS Information:

PECOS PAC ID: 6901050822
Enrollment ID: I20130131000095

Medical Identifiers

Medical identifiers for Mr Braden Wilson Wolthuis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629342548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	8055787-3102 (Utah)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	8055787-4405 (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. Mr Braden Wilson Wolthuis allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Mr Braden Wilson Wolthuis 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
Mr Braden Wilson Wolthuis, ACNP 4401 Harrison Boulevard, Mckay-dee Hospital Acute Pain Service, Ogden, UT 84403 Ph: (801) 387-2371	Mr Braden Wilson Wolthuis, ACNP 4401 Harrison Boulevard, Ogden, UT 84403 Ph: (801) 387-2371

Reviews and Comments

Nurse Practitioner Nurses in Ogden, UT

Trisha B Sears, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795
Carrie Hanni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702

Mr Braden Wilson Wolthuis, ACNP - Medicare Nurse Practitioner in Ogden, UT