Mr Samuel Mark Bertoch, FNP-C in Roosevelt, UT

Mr Samuel Mark Bertoch, FNP-C is a medicare enrolled "Nurse Practitioner" in Roosevelt, Utah. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Uintah Basin Medical Center, Northeastern Utah Medical Group and his current practice location is 2750 North 2762 West, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-9250.

Mr Samuel Mark Bertoch is licensed to practice in Utah (license number 327174-4405) 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 1417525544.

Contact Information

	Mr Samuel Mark Bertoch, FNP-C
	2750 North 2762 West, Roosevelt, UT 84066
	(435) 722-9250
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Samuel Mark Bertoch
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	2750 North 2762 West, Roosevelt, 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 Samuel Mark Bertoch graduated from nursing school in 2021

NPI Data:

NPI Number: 1417525544
Provider Enumeration Date: 06/15/2021
Last Update Date: 06/15/2021

Medicare PECOS Information:

PECOS PAC ID: 7810392271
Enrollment ID: I20210823002405

Medical Identifiers

Medical identifiers for Mr Samuel Mark Bertoch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417525544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	327174-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uintah Basin Medical Center	Roosevelt, UT	Hospital
Ashley Regional Medical Center	Vernal, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Uintah Basin Medical Center	0244131944	56
Northeastern Utah Medical Group	2961496609	42

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 Samuel Mark Bertoch allows following entities to bill medicare on his behalf.

Entity Name	Uintah Basin Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948

Entity Name	Northeastern Utah Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982664199 PECOS PAC ID: 2961496609 Enrollment ID: O20040414000471

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 Samuel Mark Bertoch 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 Samuel Mark Bertoch, FNP-C 2750 North 2762 West, Roosevelt, UT 84066 Ph: (435) 722-9250	Mr Samuel Mark Bertoch, FNP-C 2750 North 2762 West, Roosevelt, UT 84066 Ph: (435) 722-9250

Reviews and Comments

Nurse Practitioner Nurses in Roosevelt, UT

Lori A Teem, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104
Tanya Sarah Boren, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Robert Nielson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Tracy Lee Winterton, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 Constitution Dr # 515-5, Roosevelt, UT 84066 Phone: 435-823-0217
Carol F Rasmussen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291
Audrie Christine Wisell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691

Mr Samuel Mark Bertoch, FNP-C - Medicare Nurse Practitioner in Roosevelt, UT