Robert Wilson Ralston, FNP-C in Orem, UT - Medicare Nurse Practitioner

Robert Wilson Ralston, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Orem, Utah. His current practice location is 830 N 980 W, Orem, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 724-4000.

Robert Wilson Ralston is licensed to practice in Utah (license number 6329438-4405) 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 1346525474.

Contact Information

	Robert Wilson Ralston, FNP-C
	830 N 980 W, Orem, UT 84057-7709
	(801) 724-4000
	(801) 724-4001

Map and Direction

Provider's Profile

Full Name	Robert Wilson Ralston
Gender	Male
Speciality	Nurse Practitioner - Family
Location	830 N 980 W, Orem, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346525474
Provider Enumeration Date: 10/20/2011
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 2163658741
Enrollment ID: I20200509000038

Medical Identifiers

Medical identifiers for Robert Wilson Ralston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346525474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6329438-4405 (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. Robert Wilson Ralston allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Robert Wilson Ralston 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
Robert Wilson Ralston, FNP-C 830 N 980 W, Orem, UT 84057-7709 Ph: (801) 724-4000	Robert Wilson Ralston, FNP-C 830 N 980 W, Orem, UT 84057-7709 Ph: (801) 724-4000

Reviews and Comments

Nurse Practitioner Nurses in Orem, UT

Jorge Arturo Delgadillo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W 800 N, Orem, UT 84057 Phone: 801-714-6000
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Caitlin Aubrey Bozek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 E 800 N Ste 101, Orem, UT 84097 Phone: 801-742-8439
Amanda Lee Jones, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 W 400 N Ste 4, Orem, UT 84057 Phone: 801-714-3388
Mrs. L. Allison Lebaron, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 W 800 N, Suite 220, Orem, UT 84057 Phone: 801-221-8811
Heather Marie Dangerfield, DNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1790 N State St, Orem, UT 84057 Phone: 801-224-8255

Robert Wilson Ralston, FNP-C - Medicare Nurse Practitioner in Orem, UT