Penny J Mader, CNP in Provo, UT - Medicare Nurse Practitioner

Penny J Mader, CNP is a medicare enrolled "Nurse Practitioner" in Provo, Utah. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kane County Human Resource Special Service District and her current practice location is 1055 N 500 W, Attn Credentialing, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 354-8225.

Penny J Mader is licensed to practice in Utah (license number 13327156-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518247758.

Contact Information

	Penny J Mader, CNP
	1055 N 500 W, Attn Credentialing, Provo, UT 84604
	(801) 354-8225
	(801) 418-0941

Map and Direction

Provider's Profile

Full Name	Penny J Mader
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1055 N 500 W, Provo, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Penny J Mader graduated from nursing school in 2011

NPI Data:

NPI Number: 1518247758
Provider Enumeration Date: 08/19/2011
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6901070184
Enrollment ID: I20230524000735

Medical Identifiers

Medical identifiers for Penny J Mader such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518247758	NPI	-	NPPES
48922218	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	13327156-4405 (Utah)	Primary
363L00000X	Nurse Practitioner	CNP-01828 (New Mexico)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kane County Hospital	Kanab, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kane County Human Resource Special Service District	5092603316	8

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. Penny J Mader allows following entities to bill medicare on her 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

Entity Name	Kane County Human Resource Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043380991 PECOS PAC ID: 5092603316 Enrollment ID: O20040309000209

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. Penny J Mader 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
Penny J Mader, CNP 1055 N 500 W, Attn Credentialing, Provo, UT 84604-4232 Ph: (801) 354-8225	Penny J Mader, CNP 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225

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

Penny J Mader, CNP - Medicare Nurse Practitioner in Provo, UT