Mrs Kimberly Lynn Tagg, FNP-BC in Providence, UT

Mrs Kimberly Lynn Tagg, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Providence, Utah. Her current practice location is 435 N Gateway Dr Ste 801, Providence, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 787-1023.

Mrs Kimberly Lynn Tagg is licensed to practice in Utah (license number 5644836-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801477286.

Contact Information

	Mrs Kimberly Lynn Tagg, FNP-BC
	435 N Gateway Dr Ste 801, Providence, UT 84332-9004
	(435) 787-1023
	(435) 787-1882

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Lynn Tagg
Gender	Female
Speciality	Nurse Practitioner - Family
Location	435 N Gateway Dr Ste 801, Providence, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801477286
Provider Enumeration Date: 04/18/2021
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2860875143
Enrollment ID: I20220818003726

Medical Identifiers

Medical identifiers for Mrs Kimberly Lynn Tagg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801477286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5644836-4405 (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. Mrs Kimberly Lynn Tagg allows following entities to bill medicare on her behalf.

Entity Name	Daniel J Huff Podiatry Dpm Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750580643 PECOS PAC ID: 5597857029 Enrollment ID: O20070828000806

Entity Name	Be Well Medical, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669092169 PECOS PAC ID: 8224454293 Enrollment ID: O20200820002919

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. Mrs Kimberly Lynn Tagg 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
Mrs Kimberly Lynn Tagg, FNP-BC 280 S Main St, Bountiful, UT 84010-6236 Ph: (801) 505-0821	Mrs Kimberly Lynn Tagg, FNP-BC 435 N Gateway Dr Ste 801, Providence, UT 84332-9004 Ph: (435) 787-1023

Reviews and Comments

Nurse Practitioner Nurses in Providence, UT

Angela C Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 W 100 N Unit 412, Providence, UT 84332 Phone: 435-799-3840 Fax: 833-205-1005
Monica A Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1078 S 800 E, Providence, UT 84332 Phone: 435-363-5770
Leighanne Quarles, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 S 100 W, Providence, UT 84332 Phone: 801-201-0004 Fax: 866-503-6022
Wylee Kyle Jensen, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300
Mr. Ben P Boyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332 Phone: 435-787-1023 Fax: 435-787-1882
Natalie Jean Gibson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 169 N Gateway Dr Ste 170, Providence, UT 84332 Phone: 435-213-3597
Mrs. Adrianna Durrant, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 174 W 280 N, Providence, UT 84332 Phone: 435-232-4280

Mrs Kimberly Lynn Tagg, FNP-BC - Medicare Nurse Practitioner in Providence, UT