Madeleine Elise Rupert, NP in Salt Lake City, UT

Madeleine Elise Rupert, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Salt Lake City, Utah. Her current practice location is 2295 S Foothill Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 486-3021.

Madeleine Elise Rupert is licensed to practice in Utah (license number 11124957-4405) 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 1386340115.

Contact Information

	Madeleine Elise Rupert, NP
	2295 S Foothill Dr, Salt Lake City, UT 84109-4000
	(801) 486-3021
	Not Available

Map and Direction

Provider's Profile

Full Name	Madeleine Elise Rupert
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2295 S Foothill 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: 1386340115
Provider Enumeration Date: 02/02/2023
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7719350594
Enrollment ID: I20230224002057

Medical Identifiers

Medical identifiers for Madeleine Elise Rupert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386340115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	11124957-4405 (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. Madeleine Elise Rupert allows following entities to bill medicare on her behalf.

Entity Name	Foothill Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407947005 PECOS PAC ID: 9931003795 Enrollment ID: O20031122000151

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. Madeleine Elise Rupert 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
Madeleine Elise Rupert, NP 2295 S Foothill Dr, Salt Lake City, UT 84109-4000 Ph: (801) 486-3021	Madeleine Elise Rupert, NP 2295 S Foothill Dr, Salt Lake City, UT 84109-4000 Ph: (801) 486-3021

Reviews and Comments

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Madeleine Elise Rupert, NP - Medicare Nurse Practitioner in Salt Lake City, UT