Mr Craig Penton, APRN is a medicare enrolled "Nurse Practitioner - Family" in Grantsville, Utah. His current practice location is
822 E Main St Ste 7, Grantsville, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 884-3578.
Mr Craig Penton is licensed to practice in Utah (license number 8295780-4405) 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 1780037077.
Provider's Profile
Full Name | Mr Craig Penton |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 822 E Main St Ste 7, Grantsville, 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: 1780037077
- Provider Enumeration Date: 07/21/2016
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416359757
- Enrollment ID: I20210709000746
Medical Identifiers
Medical identifiers for Mr Craig Penton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780037077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 8295780-3102 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 8295780-4405 (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. Mr Craig Penton allows following entities to bill medicare on his behalf.
Entity Name | Tooele Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073512364 PECOS PAC ID: 6800700873 Enrollment ID: O20031113000800 |
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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. Mr Craig Penton 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 |
Mr Craig Penton, APRN 89 W Hidden Acres Ln, Erda, UT 84074-5585 Ph: (435) 224-2634 | Mr Craig Penton, APRN 822 E Main St Ste 7, Grantsville, UT 84029-2501 Ph: (435) 884-3578 |
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