Benjamin Berthold, PMHNP in Taylorsville, UT - Medicare Nurse Practitioner

Benjamin Berthold, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Taylorsville, Utah. His current practice location is 5770 S 1500 W, Taylorsville, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 478-2400.

Benjamin Berthold is licensed to practice in Utah (license number 14241564-4405) 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 1235741679.

Contact Information

	Benjamin Berthold, PMHNP
	5770 S 1500 W, Taylorsville, UT 84123-5216
	(385) 478-2400
	Not Available

Map and Direction

Provider's Profile

Full Name	Benjamin Berthold
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5770 S 1500 W, Taylorsville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235741679
Provider Enumeration Date: 08/18/2020
Last Update Date: 10/01/2025

Medicare PECOS Information:

PECOS PAC ID: 4789056797
Enrollment ID: I20230220001841

Medical Identifiers

Medical identifiers for Benjamin Berthold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235741679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	286456 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	14241564-4405 (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. Benjamin Berthold allows following entities to bill medicare on his behalf.

Entity Name	Tmc Medical Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996

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. Benjamin Berthold 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
Benjamin Berthold, PMHNP 5770 S 1500 W, Taylorsville, UT 84123-5216 Ph: () -	Benjamin Berthold, PMHNP 5770 S 1500 W, Taylorsville, UT 84123-5216 Ph: (385) 478-2400

Reviews and Comments

Nurse Practitioner Nurses in Taylorsville, UT

Mrs. Paige Jolynn Stodtmeister, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-313-7711
Janice Lamborn, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3845 W 4700 S, Taylorsville, UT 84118 Phone: 801-840-2101
Alexis Gundersen Petersen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6048 S Hazelhurst Dr, Taylorsville, UT 84129 Phone: 801-560-9124
Anna Vladimirovna Kasabyan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-313-7770
Lisa Ann Ostrander, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1385 W 2200 S, Taylorsville, UT 84119 Phone: 801-944-0095
Devin James Slade, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4970 S 3535 W, Taylorsville, UT 84129 Phone: 801-822-3975
Florence Fairbanks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-265-3144

Benjamin Berthold, PMHNP - Medicare Nurse Practitioner in Taylorsville, UT