Jodi Lyn Putnam, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fountain Green, Utah. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acuity Wound Care, Togo Healthcare Llc and her current practice location is
84 S State St, Fountain Green, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 445-3668.
Jodi Lyn Putnam is licensed to practice in Utah (license number 7992533-4405) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558109504.
Provider's Profile
| Full Name | Jodi Lyn Putnam |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 84 S State St, Fountain Green, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jodi Lyn Putnam graduated from nursing school in 2024
NPI Data:
- NPI Number: 1558109504
- Provider Enumeration Date: 07/15/2024
- Last Update Date: 06/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 9830636836
- Enrollment ID: I20240808001760
Medical Identifiers
Medical identifiers for Jodi Lyn Putnam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558109504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 7992533-4405 (Utah) | Primary |
| 363L00000X | Nurse Practitioner | 7992533-4405 (Utah) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Acuity Wound Care | 4688108814 | 7 |
| Togo Healthcare Llc | 2264973437 | 10 |
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. Jodi Lyn Putnam allows following entities to bill medicare on her behalf.
| Entity Name | Ellsworth Foot And Ankle Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942549795 PECOS PAC ID: 2062778160 Enrollment ID: O20211110001673 |
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| Entity Name | Amble Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134865595 PECOS PAC ID: 2365821220 Enrollment ID: O20220623000525 |
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| Entity Name | Expert Wound Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952179251 PECOS PAC ID: 2567801533 Enrollment ID: O20240424000196 |
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| Entity Name | Acuity Wound Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275350464 PECOS PAC ID: 4688108814 Enrollment ID: O20241112000141 |
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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. Jodi Lyn Putnam 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 |
Jodi Lyn Putnam, FNP-C 84 S State St, Fountain Green, UT 84632-7640 Ph: (435) 445-3668 | Jodi Lyn Putnam, FNP-C 84 S State St, Fountain Green, UT 84632-7640 Ph: (435) 445-3668 |
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