Tillie Borrelli, DNP in Draper, UT - Medicare Nurse Practitioner

Tillie Borrelli, DNP is a medicare enrolled "Nurse Practitioner - Family" in Draper, Utah. Her current practice location is 12921 S Vista Station Blvd, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 823-5811.

Tillie Borrelli is licensed to practice in Utah (license number 6637908-4405) 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 1154872539.

Contact Information

	Tillie Borrelli, DNP
	12921 S Vista Station Blvd, Draper, UT 84020-2376
	(801) 823-5811
	Not Available

Map and Direction

Provider's Profile

Full Name	Tillie Borrelli
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12921 S Vista Station Blvd, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154872539
Provider Enumeration Date: 10/20/2016
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6709161870
Enrollment ID: I20170403001043

Medical Identifiers

Medical identifiers for Tillie Borrelli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154872539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6637908-4405 (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. Tillie Borrelli allows following entities to bill medicare on her behalf.

Entity Name	Gregory Iverson Family Medicine, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720379936 PECOS PAC ID: 4284804923 Enrollment ID: O20110907000943

Entity Name	University Of Utah Community Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118

Entity Name	Molina Healthcare Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619486396 PECOS PAC ID: 8224395041 Enrollment ID: O20171204002662

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. Tillie Borrelli 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
Tillie Borrelli, DNP 5184 Rodeo Cir, Oakley, UT 84055-2101 Ph: (307) 690-5397	Tillie Borrelli, DNP 12921 S Vista Station Blvd, Draper, UT 84020-2376 Ph: (801) 823-5811

Reviews and Comments

Nurse Practitioner Nurses in Draper, UT

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Carlie Jo Hamilton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12272 S 800 E, Suite A, Draper, UT 84020 Phone: 801-523-1300 Fax: 801-523-1301
Tracy Lynn Hanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 260, Draper, UT 84020 Phone: 801-545-8480
Tumu Jeremy Asuao, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12176 S 1000 E Ste 4, Draper, UT 84020 Phone: 800-640-3451

Tillie Borrelli, DNP - Medicare Nurse Practitioner in Draper, UT