Mr Jose Luis Esparza, FNP in Salt Lake City, UT

Mr Jose Luis Esparza, FNP is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. His current practice location is 461 S 400 E, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 539-8617.

Mr Jose Luis Esparza is licensed to practice in Utah (license number 5662869-4405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720341837.

Contact Information

	Mr Jose Luis Esparza, FNP
	461 S 400 E, Salt Lake City, UT 84111-3302
	(801) 539-8617
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jose Luis Esparza
Gender	Male
Speciality	Nurse Practitioner - Family
Location	461 S 400 E, 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: 1720341837
Provider Enumeration Date: 06/22/2012
Last Update Date: 06/22/2012

Medicare PECOS Information:

PECOS PAC ID: 7719117837
Enrollment ID: I20180221000651

Medical Identifiers

Medical identifiers for Mr Jose Luis Esparza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720341837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5662869-4405 (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. Mr Jose Luis Esparza allows following entities to bill medicare on his behalf.

Entity Name	Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952505117 PECOS PAC ID: 5991698169 Enrollment ID: O20040203000767

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. Mr Jose Luis Esparza 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
Mr Jose Luis Esparza, FNP 4427 S Lago Grande Dr, West Valley City, UT 84128-5632 Ph: (801) 967-1979	Mr Jose Luis Esparza, FNP 461 S 400 E, Salt Lake City, UT 84111-3302 Ph: (801) 539-8617

Reviews and Comments

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Mr Jose Luis Esparza, FNP - Medicare Nurse Practitioner in Salt Lake City, UT