Peguy Jacques, in Spanish Fork, UT - Medicare Nurse Practitioner

Peguy Jacques, is a medicare enrolled "Nurse Practitioner - Family" in Spanish Fork, Utah. His current practice location is 2008 E Chariot Ln, Spanish Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 623-3346.

Peguy Jacques is licensed to practice in Utah (license number 9571169-4405) 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 1578073250.

Contact Information

	Peguy Jacques,
	2008 E Chariot Ln, Spanish Fork, UT 84660-6284
	(801) 623-3346
	Not Available

Map and Direction

Provider's Profile

Full Name	Peguy Jacques
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2008 E Chariot Ln, Spanish Fork, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578073250
Provider Enumeration Date: 10/06/2017
Last Update Date: 07/14/2023

Medicare PECOS Information:

PECOS PAC ID: 0547626434
Enrollment ID: I20230518002949

Medical Identifiers

Medical identifiers for Peguy Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578073250	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	9571169-4405 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	9571169-4405 (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. Peguy Jacques allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	Woundtech Of Utah Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750922415 PECOS PAC ID: 3779919063 Enrollment ID: O20200205000711

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. Peguy Jacques 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
Peguy Jacques, 2008 E Chariot Ln, Spanish Fork, UT 84660-6284 Ph: (801) 623-3346	Peguy Jacques, 2008 E Chariot Ln, Spanish Fork, UT 84660-6284 Ph: (801) 623-3346

Reviews and Comments

Nurse Practitioner Nurses in Spanish Fork, UT

Lacey Rose Winkel, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 972 N 600 E, Spanish Fork, UT 84660 Phone: 801-465-4896 Fax: 801-465-3267
Ms. Jessica Newberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 819 E Market Place Dr, Spanish Fork, UT 84660 Phone: 385-344-6600 Fax: 385-344-6605
Carly Lynne Peterson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1033 W 450 S, Spanish Fork, UT 84660 Phone: 801-471-9201
Mr. Brian Christensen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 N Main St, Spanish Fork, UT 84660 Phone: 801-798-2515 Fax: 801-798-2510
Katie Bates, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 W 100 S, Spanish Fork, UT 84660 Phone: 801-798-7301
Lindsay Leonard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 972 N 600 E, Spanish Fork, UT 84660 Phone: 385-265-6060
Samantha Howard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 W 100 S, Spanish Fork, UT 84660 Phone: 801-798-7301 Fax: 801-798-8513

Peguy Jacques, - Medicare Nurse Practitioner in Spanish Fork, UT