Charles Kip Deweese, APRN in Salt Lake City, UT

Charles Kip Deweese, APRN is a medicare enrolled "Nurse Practitioner" in Salt Lake City, Utah. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Of Utah Adult Services and his current practice location is 82 S 1100 E, Suite 204, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 350-4602.

Charles Kip Deweese is licensed to practice in Utah (license number 206077-4405) 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 1063506889.

Contact Information

	Charles Kip Deweese, APRN
	82 S 1100 E, Suite 204, Salt Lake City, UT 84102-1686
	(801) 350-4602
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles Kip Deweese
Gender	Male
Speciality	Nurse Practitioner
Experience	24 Years
Location	82 S 1100 E, Salt Lake City, 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:

Charles Kip Deweese graduated from nursing school in 2000

NPI Data:

NPI Number: 1063506889
Provider Enumeration Date: 10/03/2006
Last Update Date: 10/20/2021

Medicare PECOS Information:

PECOS PAC ID: 9436135605
Enrollment ID: I20040628001055

Medical Identifiers

Medical identifiers for Charles Kip Deweese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063506889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	206077-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1459

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. Charles Kip Deweese allows following entities to bill medicare on his behalf.

Entity Name	Physician Group Of Utah Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Charles Kip Deweese 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
Charles Kip Deweese, APRN 82 S 1100 E, Suite 204, Salt Lake City, UT 84102-1686 Ph: (801) 350-4602	Charles Kip Deweese, APRN 82 S 1100 E, Suite 204, Salt Lake City, UT 84102-1686 Ph: (801) 350-4602

Reviews and Comments

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Charles Kip Deweese, APRN - Medicare Nurse Practitioner in Salt Lake City, UT