Siosi Fonua, APRN in Salt Lake City, UT - Medicare Nurse Practitioner

Siosi Fonua, APRN is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Odyssey House Inc. and her current practice location is 34 S 500 E, Ste 202, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 582-2011.

Siosi Fonua is licensed to practice in Utah (license number 6445920-4405) 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 1750789624.

Contact Information

	Siosi Fonua, APRN
	34 S 500 E, Ste 202, Salt Lake City, UT 84102-1023
	(801) 582-2011
	Not Available

Map and Direction

Provider's Profile

Full Name	Siosi Fonua
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	34 S 500 E, Salt Lake City, 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:

Siosi Fonua graduated from nursing school in 2014

NPI Data:

NPI Number: 1750789624
Provider Enumeration Date: 12/09/2014
Last Update Date: 05/28/2019

Medicare PECOS Information:

PECOS PAC ID: 2163794173
Enrollment ID: I20170824002581

Medical Identifiers

Medical identifiers for Siosi Fonua such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750789624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6445920-4405 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Odyssey House Inc.	2365458833	7

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. Siosi Fonua allows following entities to bill medicare on her behalf.

Entity Name	Odyssey House Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033143706 PECOS PAC ID: 2365458833 Enrollment ID: O20060222000116

Entity Name	Adult Care Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487042537 PECOS PAC ID: 6901121235 Enrollment ID: O20150209001846

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. Siosi Fonua 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
Siosi Fonua, APRN 344 E 100 S, Salt Lake City, UT 84111-1700 Ph: (801) 322-3222	Siosi Fonua, APRN 34 S 500 E, Ste 202, Salt Lake City, UT 84102-1023 Ph: (801) 582-2011

Reviews and Comments

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Siosi Fonua, APRN - Medicare Nurse Practitioner in Salt Lake City, UT