Leissa A Roberts, CNM in Salt Lake City, UT - Medicare Advanced Practice Midwife

Leissa A Roberts, CNM is a medicare enrolled "Advanced Practice Midwife" in Salt Lake City, Utah. Her current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-4014.

Leissa A Roberts is licensed to practice in Utah (license number 211268-4402) 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 1023108644.

Contact Information

	Leissa A Roberts, CNM
	50 N Medical Dr, Salt Lake City, UT 84132-0001
	(801) 581-4014
	Not Available

Map and Direction

Provider's Profile

Full Name	Leissa A Roberts
Gender	Female
Speciality	Advanced Practice Midwife
Location	50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023108644
Provider Enumeration Date: 10/13/2006
Last Update Date: 11/16/2021

Medicare PECOS Information:

PECOS PAC ID: 2365341609
Enrollment ID: I20040113000573

Medical Identifiers

Medical identifiers for Leissa A Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023108644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	211268-4402 (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. Leissa A Roberts allows following entities to bill medicare on her behalf.

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. Leissa A Roberts 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
Leissa A Roberts, CNM Po Box 413036, Salt Lake City, UT 84141-3036 Ph: (801) 213-3900	Leissa A Roberts, CNM 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-4014

Reviews and Comments

Advanced Practice Midwife Nurses in Salt Lake City, UT

Karli Maren Schwanke, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 654 S 900 E, Salt Lake City, UT 84102 Phone: 801-532-1586 Fax: 801-532-5748
Mrs. Nancie J Mooy, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 324 10th Ave, Ste 184, Salt Lake City, UT 84103 Phone: 801-408-1440 Fax: 801-408-1441
Lindsay P Breinholt, C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1220 East 3900 South, Suite 3e, Salt Lake City, UT 84124 Phone: 801-685-7188 Fax: 801-685-8116
Jannette J Yorgason, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 324 10th Ave Ste 163, Salt Lake City, UT 84103 Phone: 801-408-1440
Rita Alina Paegle, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-213-2995
Mrs. Lisa Ellen Davis, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-4014

Leissa A Roberts, CNM - Medicare Advanced Practice Midwife in Salt Lake City, UT