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

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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 NameBernard M Mutie
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location12433 S Fort St, Draper, Utah
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1396255360NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 79878114405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intermountain Health Mckay-dee HospitalOgden, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Santibanez Pac Utah135578543719

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 NameUtah Regional Hospitalists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962821223
PECOS PAC ID: 4789807165
Enrollment ID: O20140604000236
Entity NameSantibanez Pac Utah
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881469484
PECOS PAC ID: 1355785437
Enrollment ID: O20240216000756
Entity NamePost Acute Medical PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730713025
PECOS PAC ID: 5193156115
Enrollment ID: O20250708004173

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 AddressPractice 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


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.