Mr Lorin Leithead, APRN in Eagle Mountain, UT

Mr Lorin Leithead, APRN is a medicare enrolled "Nurse Practitioner - Family" in Eagle Mountain, Utah. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 429-8037.

Mr Lorin Leithead is licensed to practice in Utah (license number 312206-4405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164852745.

Contact Information

	Mr Lorin Leithead, APRN
	4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005-5529
	(801) 429-8037
	(801) 753-7476

Map and Direction

Provider's Profile

Full Name	Mr Lorin Leithead
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	4095 E Pony Express Pkwy, Eagle Mountain, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Lorin Leithead graduated from nursing school in 2013

NPI Data:

NPI Number: 1164852745
Provider Enumeration Date: 11/19/2013
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5395969653
Enrollment ID: I20160427001330

Medical Identifiers

Medical identifiers for Mr Lorin Leithead such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164852745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	312206-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Utah Valley Hospital	Provo, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	386

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 Lorin Leithead allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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 Lorin Leithead 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 Lorin Leithead, APRN 1055 N 500 W Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Mr Lorin Leithead, APRN 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005-5529 Ph: (801) 429-8037

Reviews and Comments

Nurse Practitioner Nurses in Eagle Mountain, UT

Paul Knorr Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4095 E Pony Express Pkwy, Ste 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476
Weston George Rallis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5256 E Blacksmith Rd, Eagle Mountain, UT 84005 Phone: 801-828-7909
Brooke Ludwig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005 Phone: 801-789-2444 Fax: 801-789-2045
Tahsha T Spackman, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7224 N Skyview Ln, Eagle Mountain, UT 84005 Phone: 208-851-1987
Brian Lee Simmons, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005 Phone: 801-789-5566 Fax: 801-642-2942
Ms. Dana Michelle Roach, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3435 E Pony Express Pkwy Ste 104, Eagle Mountain, UT 84005 Phone: 801-789-2444 Fax: 801-789-2045

Mr Lorin Leithead, APRN - Medicare Nurse Practitioner in Eagle Mountain, UT