Camrey Dawn Tuttle, is a medicare enrolled "Nurse Practitioner - Family" in Orangeville, Utah. Her current practice location is
120 S 100 W, Orangeville, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 609-6584.
Camrey Dawn Tuttle is licensed to practice in Utah (license number 11582197-4405) 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 1427660737.
Provider's Profile
| Full Name | Camrey Dawn Tuttle |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 120 S 100 W, Orangeville, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427660737
- Provider Enumeration Date: 08/18/2020
- Last Update Date: 12/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668833997
- Enrollment ID: I20230802001691
Medical Identifiers
Medical identifiers for Camrey Dawn Tuttle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427660737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WM0705X | Registered Nurse - Medical-surgical | 115821973102 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11582197-4405 (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. Camrey Dawn Tuttle allows following entities to bill medicare on her behalf.
| Entity Name | Shane D Gagon Md, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982815064 PECOS PAC ID: 9335236868 Enrollment ID: O20071031000379 |
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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. Camrey Dawn Tuttle 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 |
Camrey Dawn Tuttle, Po Box 204, Orangeville, UT 84537-0204 Ph: (435) 609-6584 | Camrey Dawn Tuttle, 120 S 100 W, Orangeville, UT 84537-7834 Ph: (435) 609-6584 |
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