Bernard M Mutie, APRN in Draper, UT - Medicare Nurse Practitioner

Bernard M Mutie, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Draper, Utah. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Santibanez Pac Utah and his current practice location is 12433 S Fort St, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 576-1086.

Bernard M Mutie is licensed to practice in Utah (license number 79878114405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396255360.

Contact Information

	Bernard M Mutie, APRN
	12433 S Fort St, Draper, UT 84020-9363
	(801) 576-1086
	(801) 576-9796

Map and Direction

Provider's Profile

Full Name	Bernard M Mutie
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	12433 S Fort St, Draper, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bernard M Mutie graduated from nursing school in 2017

NPI Data:

NPI Number: 1396255360
Provider Enumeration Date: 10/04/2017
Last Update Date: 06/11/2020

Medicare PECOS Information:

PECOS PAC ID: 0749547891
Enrollment ID: I20171128003813

Medical Identifiers

Medical identifiers for Bernard M Mutie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396255360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	79878114405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mckay Dee Hospital	Ogden, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Santibanez Pac Utah	1355785437	23

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. Bernard M Mutie allows following entities to bill medicare on his behalf.

Entity Name	Pioneer Comprehensive Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891975595 PECOS PAC ID: 9537192570 Enrollment ID: O20050912000456

Entity Name	Utah Regional Hospitalists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236

Entity Name	Santibanez Pac Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881469484 PECOS PAC ID: 1355785437 Enrollment ID: O20240216000756

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. Bernard M Mutie 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
Bernard M Mutie, APRN 5505 S 900 E, Holladay, UT 84117-7209 Ph: (801) 783-5011	Bernard M Mutie, APRN 12433 S Fort St, Draper, UT 84020-9363 Ph: (801) 576-1086

Reviews and Comments

Nurse Practitioner Nurses in Draper, UT

Catherine Schultz, DNP, MN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 E 12300 S Ste R400, Draper, UT 84020 Phone: 385-287-1877
Rebecca Dawn Roy, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14658 S Bangerter Pkwy Ste 200, Draper, UT 84020 Phone: 801-839-5557 Fax: 801-719-2281
Melanie Riederer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-965-3600
Angela Rosa, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 656 E 11400 S Ste N, Draper, UT 84020 Phone: 801-849-1604
Mckay Norton, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12422 S 450 E Ste C, Draper, UT 84020 Phone: 303-385-4140
Lehai Lily Austin, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2050
Dr. Brynn Jenkins Jorgensen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 138 E 12300 S Unit 657, Draper, UT 84020 Phone: 801-696-9459 Fax: 385-525-3732

Bernard M Mutie, APRN - Medicare Nurse Practitioner in Draper, UT