Lexi Ann Hartley, RN, BSN, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Enterprise, Utah. Her current practice location is
571 Main St, Enterprise, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 878-5711.
Lexi Ann Hartley is licensed to practice in Utah (license number 11767398-4405) 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 1902641731.
Provider's Profile
| Full Name | Lexi Ann Hartley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 571 Main St, Enterprise, 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: 1902641731
- Provider Enumeration Date: 06/25/2024
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931647351
- Enrollment ID: I20240816001644
Medical Identifiers
Medical identifiers for Lexi Ann Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902641731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 11767398-4405 (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. Lexi Ann Hartley allows following entities to bill medicare on her behalf.
| Entity Name | Main Street Family Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518636844 PECOS PAC ID: 0547650962 Enrollment ID: O20211129001703 |
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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. Lexi Ann Hartley 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 |
Lexi Ann Hartley, RN, BSN, MSN, FNP-C 1001 W Curly Hollow Dr Unit 73, St George, UT 84770-7558 Ph: () - | Lexi Ann Hartley, RN, BSN, MSN, FNP-C 571 Main St, Enterprise, UT 84725 Ph: (435) 878-5711 |
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