Melody Wilbur, APRN is a medicare enrolled "Nurse Practitioner - Neonatal" in Bluffdale, Utah. Her current practice location is
1362 W Blue Quill Dr, Bluffdale, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 615-3675.
Melody Wilbur is licensed to practice in Washington (license number AP61253337) 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 1144999269.
Provider's Profile
Full Name | Melody Wilbur |
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Gender | Female |
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Speciality | Nurse Practitioner - Neonatal |
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Location | 1362 W Blue Quill Dr, Bluffdale, 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: 1144999269
- Provider Enumeration Date: 09/10/2021
- Last Update Date: 03/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416312939
- Enrollment ID: I20230504002370
Medical Identifiers
Medical identifiers for Melody Wilbur such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144999269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WN0002X | Registered Nurse - Neonatal Intensive Care | 9523308-3102 (Utah) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | 9523308-4405 (Utah) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | AP61253337 (Washington) | 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. Melody Wilbur allows following entities to bill medicare on her behalf.
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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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. Melody Wilbur 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 |
Melody Wilbur, APRN 1362 W Blue Quill Dr, Bluffdale, UT 84065-2139 Ph: (801) 615-3675 | Melody Wilbur, APRN 1362 W Blue Quill Dr, Bluffdale, UT 84065-2139 Ph: (801) 615-3675 |
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