Mr Kirk Russell Waldron, FNP-C - Medicare Nurse Practitioner in Brigham City, UT

Mr Kirk Russell Waldron, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Brigham City, Utah. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 770 S 200 E Ste 102, Brigham City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 513-9652.

Mr Kirk Russell Waldron is licensed to practice in Utah (license number 7301549-8900) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215599105.

Contact Information

Mr Kirk Russell Waldron, FNP-C
770 S 200 E Ste 102,
Brigham City, UT 84302-3387
(801) 513-9652
Not Available

Map and Direction




Provider's Profile

Full NameMr Kirk Russell Waldron
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location770 S 200 E Ste 102, Brigham City, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kirk Russell Waldron graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1215599105
  • Provider Enumeration Date: 07/01/2019
  • Last Update Date: 07/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3274861968
  • Enrollment ID: I20190819003094

Medical Identifiers

Medical identifiers for Mr Kirk Russell Waldron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215599105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 7301549-8900 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Brigham City Community HospitalBrigham city, UTHospital

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 Kirk Russell Waldron allows following entities to bill medicare on his behalf.
Entity NameAdvantage Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053861567
PECOS PAC ID: 4981971207
Enrollment ID: O20170517000340
Entity NameBeecon Recovery Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437780673
PECOS PAC ID: 5799149910
Enrollment ID: O20231109002083

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 Kirk Russell Waldron 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 AddressPractice Location Address
Mr Kirk Russell Waldron, FNP-C
770 S 200 E Ste 102,
Brigham City, UT 84302-3387

Ph: (801) 513-9652
Mr Kirk Russell Waldron, FNP-C
770 S 200 E Ste 102,
Brigham City, UT 84302-3387

Ph: (801) 513-9652

Reviews and Comments


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Phone: 435-538-1733    Fax: 435-538-1752

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.