Mr Kelly Bryan Gines, FNP-C in Farmington, UT

Mr Kelly Bryan Gines, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Farmington, Utah. His current practice location is 444 W Bourne Cir Ste 200, Farmington, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 776-0174.

Mr Kelly Bryan Gines is licensed to practice in Utah (license number 8334395-4405) 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 1770078842.

Contact Information

	Mr Kelly Bryan Gines, FNP-C
	444 W Bourne Cir Ste 200, Farmington, UT 84025-3657
	(801) 776-0174
	(801) 825-3904

Map and Direction

Provider's Profile

Full Name	Mr Kelly Bryan Gines
Gender	Male
Speciality	Nurse Practitioner - Family
Location	444 W Bourne Cir Ste 200, Farmington, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770078842
Provider Enumeration Date: 06/29/2018
Last Update Date: 06/09/2022

Medicare PECOS Information:

PECOS PAC ID: 8921431263
Enrollment ID: I20191127001528

Medical Identifiers

Medical identifiers for Mr Kelly Bryan Gines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770078842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	8334395 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	8334395-4405 (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 Kelly Bryan Gines allows following entities to bill medicare on his behalf.

Entity Name	Utah Emergency Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588048979 PECOS PAC ID: 1153307277 Enrollment ID: O20040628001454

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 Kelly Bryan Gines 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 Kelly Bryan Gines, FNP-C 2044 N 3700 W, Plain City, UT 84404-9485 Ph: (801) 458-0889	Mr Kelly Bryan Gines, FNP-C 444 W Bourne Cir Ste 200, Farmington, UT 84025-3657 Ph: (801) 776-0174

Reviews and Comments

Nurse Practitioner Nurses in Farmington, UT

Chia-hsuan Lin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 017-480-1776
Steven Pham, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 N University Ave, Farmington, UT 84025 Phone: 801-213-3200
Megan Jane Christensen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 722 Shepard Ln Ste 102, Farmington, UT 84025 Phone: 385-988-3965
Staci Ann Willis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 Countryside Rd, Farmington, UT 84025 Phone: 801-870-7308
Shauna Bennee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 Shepard Ln, Farmington, UT 84025 Phone: 801-447-8680
Mrs. Linda S Earl, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 E State St, Farmington, UT 84025 Phone: 801-451-3373 Fax: 801-451-3144
Bret Sweeten, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 N University Ave, Farmington, UT 84025 Phone: 801-213-3200

Mr Kelly Bryan Gines, FNP-C - Medicare Nurse Practitioner in Farmington, UT