Mrs Rachel Gunderson, AGACNP-BC in Provo, UT - Medicare Nurse Practitioner

Mrs Rachel Gunderson, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Provo, Utah. Her current practice location is 3661 N Canyon Rd Ste F, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 808-6122.

Mrs Rachel Gunderson is licensed to practice in Utah (license number 6212250-4405) 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 1760871263.

Contact Information

	Mrs Rachel Gunderson, AGACNP-BC
	3661 N Canyon Rd Ste F, Provo, UT 84604-4536
	(801) 808-6122
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Rachel Gunderson
Gender	Female
Speciality	Nurse Practitioner
Location	3661 N Canyon Rd Ste F, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760871263
Provider Enumeration Date: 01/21/2015
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2365760352
Enrollment ID: I20150423002475

Medical Identifiers

Medical identifiers for Mrs Rachel Gunderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760871263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	6212250-4405 (Utah)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	AP124559 (Texas)	Secondary
363L00000X	Nurse Practitioner	6212250-4405 (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 Rachel Gunderson allows following entities to bill medicare on her behalf.

Entity Name	Rishi R. Bhardwaj Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841571072 PECOS PAC ID: 2860664679 Enrollment ID: O20111019000956

Entity Name	Manoj K Bhardwaj Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700161551 PECOS PAC ID: 6709053101 Enrollment ID: O20120126000259

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 Rachel Gunderson 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 Rachel Gunderson, AGACNP-BC Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Mrs Rachel Gunderson, AGACNP-BC 3661 N Canyon Rd Ste F, Provo, UT 84604-4536 Ph: (801) 808-6122

Reviews and Comments

Nurse Practitioner Nurses in Provo, UT

Sharla Morgan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-356-1300 Fax: 801-356-1304
Ashley Saunders, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 Fax: 801-812-5034
Mr. Michael Frank Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811
Connie Denise Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606 Phone: 801-877-5801 Fax: 801-877-5802
Jennifer Lynn Osborne, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-429-8191
Amber Elexis Marsh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd, Provo, UT 84604 Phone: 801-357-7850
Melissa Sue Guest, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760

Mrs Rachel Gunderson, AGACNP-BC - Medicare Nurse Practitioner in Provo, UT