Natosha L Tullos, FNP-C in South Jordan, UT - Medicare Nurse Practitioner

Natosha L Tullos, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in South Jordan, Utah. Her current practice location is 5432 W Copper Needle Way, South Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 898-1770.

Natosha L Tullos is licensed to practice in Utah (license number 8635972-4405) 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 1053182980.

Contact Information

	Natosha L Tullos, FNP-C
	5432 W Copper Needle Way, South Jordan, UT 84009-6235
	(801) 898-1770
	Not Available

Map and Direction

Provider's Profile

Full Name	Natosha L Tullos
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5432 W Copper Needle Way, South Jordan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053182980
Provider Enumeration Date: 01/10/2024
Last Update Date: 12/08/2024

Medicare PECOS Information:

PECOS PAC ID: 2264877976
Enrollment ID: I20240304001057

Medical Identifiers

Medical identifiers for Natosha L Tullos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053182980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	8635972-4405 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	8635972-4405 (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. Natosha L Tullos allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Surgical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174928139 PECOS PAC ID: 6002130481 Enrollment ID: O20150112002158

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Natosha L Tullos 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
Natosha L Tullos, FNP-C 5432 W Copper Needle Way, South Jordan, UT 84009-6235 Ph: (801) 898-1770	Natosha L Tullos, FNP-C 5432 W Copper Needle Way, South Jordan, UT 84009-6235 Ph: (801) 898-1770

Reviews and Comments

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Natosha L Tullos, FNP-C - Medicare Nurse Practitioner in South Jordan, UT