Mr Kraig Lynn Packer, NPC in Provo, UT - Medicare Nurse Practitioner

Mr Kraig Lynn Packer, NPC is a medicare enrolled "Nurse Practitioner - Adult Health" in Provo, Utah. His current practice location is 3339 Cherokee Ln, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 803-0877.

Mr Kraig Lynn Packer is licensed to practice in Utah (license number 261539-4405) 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 1518959535.

Contact Information

	Mr Kraig Lynn Packer, NPC
	3339 Cherokee Ln, Provo, UT 84604-4866
	(801) 803-0877
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kraig Lynn Packer
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	3339 Cherokee Ln, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518959535
Provider Enumeration Date: 08/16/2005
Last Update Date: 09/09/2021

Medicare PECOS Information:

PECOS PAC ID: 3779471412
Enrollment ID: I20080520000842

Medical Identifiers

Medical identifiers for Mr Kraig Lynn Packer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518959535	NPI	-	NPPES
50634879	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	261539-4405 (Utah)	Secondary
363L00000X	Nurse Practitioner	115014 (Colorado)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	261539-4405 (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 Kraig Lynn Packer allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Entity Name	Western Medical Consultants
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790175073 PECOS PAC ID: 0446577290 Enrollment ID: O20150316002507

Entity Name	Senior Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134721228 PECOS PAC ID: 6305260746 Enrollment ID: O20200720000334

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 Kraig Lynn Packer 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 Kraig Lynn Packer, NPC 3339 Cherokee Ln, Provo, UT 84604-4866 Ph: () -	Mr Kraig Lynn Packer, NPC 3339 Cherokee Ln, Provo, UT 84604-4866 Ph: (801) 803-0877

Reviews and Comments

Nurse Practitioner Nurses in Provo, UT

Sharla Morgan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-356-1300 Fax: 801-356-1304
Neil Peterson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Spencer W Kimball Tower Bldg Kmbl, Provo, UT 84602 Phone: 801-422-4893 Fax: 801-422-4893
Merilee Jacobson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 212, Provo, UT 84604 Phone: 801-374-2362
Ashley Saunders, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 Fax: 801-812-5034
Mr. Michael Frank Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811
Crystal C Huffaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W, Ste 211, Building C, Provo, UT 84604 Phone: 801-357-7327 Fax: 801-375-8860
Connie Denise Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606 Phone: 801-877-5801 Fax: 801-877-5802

Mr Kraig Lynn Packer, NPC - Medicare Nurse Practitioner in Provo, UT