Theresa M Fought, CNM is a medicare enrolled "Advanced Practice Midwife" in Saint George, Utah. Her current practice location is
515 S 300 E, Ste 205, Saint George, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 674-0999.
Theresa M Fought is licensed to practice in Utah (license number 203836-4402) 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 1942390547.
Provider's Profile
| Full Name | Theresa M Fought |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 515 S 300 E, Saint George, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942390547
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 03/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 4789632274
- Enrollment ID: I20050111000897
Medical Identifiers
Medical identifiers for Theresa M Fought such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942390547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 203836-4402 (Utah) | Primary |
| 363L00000X | Nurse Practitioner | AP60639299 (Washington) | Secondary |
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. Theresa M Fought allows following entities to bill medicare on her behalf.
| Entity Name | St George Obgyn Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538452834
PECOS PAC ID: 3173793841
Enrollment ID: O20110907001339 |
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| Entity Name | University Of Utah Adult Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683 |
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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. Theresa M Fought 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 |
|---|
Theresa M Fought, CNM
515 S 300 E, Ste 205,
Saint George, UT 84770-3979
Ph: (435) 674-0999 | Theresa M Fought, CNM
515 S 300 E, Ste 205,
Saint George, UT 84770-3979
Ph: (435) 674-0999 |
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