Shane Mozingo, - Medicare Nurse Practitioner in North Logan, UT

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Shane Mozingo, is a medicare enrolled "Nurse Practitioner - Family" in North Logan, Utah. His current practice location is 2841 N 920 E, North Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 512-1066.

Shane Mozingo is licensed to practice in Utah (license number 10646550-3102) 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 1295347474.

Contact Information

Shane Mozingo,
2841 N 920 E,
North Logan, UT 84341-5806
(435) 512-1066
Not Available

Map and Direction




Provider's Profile

Full NameShane Mozingo
GenderMale
SpecialityNurse Practitioner - Family
Location2841 N 920 E, North Logan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295347474
  • Provider Enumeration Date: 08/19/2020
  • Last Update Date: 12/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991157505
  • Enrollment ID: I20240119000787

Medical Identifiers

Medical identifiers for Shane Mozingo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295347474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 10646550-3102 (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. Shane Mozingo allows following entities to bill medicare on his behalf.
Entity NameSouth Sound Inpatient Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023285756
PECOS PAC ID: 5991618738
Enrollment ID: O20100920001132
Entity NameAtlas Medical Alaska Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376213207
PECOS PAC ID: 0345630463
Enrollment ID: O20211205000014

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. Shane Mozingo 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
Shane Mozingo,
2841 N 920 E,
North Logan, UT 84341-5806

Ph: (435) 512-1066		Shane Mozingo,
2841 N 920 E,
North Logan, UT 84341-5806

Ph: (435) 512-1066

Reviews and Comments


Nurse Practitioner Nurses in North Logan, UT

James Lewis Jones Jr., ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 550 E 1400 N, Suite J, North Logan, UT 84341
Phone: 435-753-1171    Fax: 435-792-4464
Dr. Christopher James Morgan, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2150 N Main St Ste 3, North Logan, UT 84341
Phone: 435-716-8765    Fax: 435-915-3700
Stacie Weeks Mecham, P.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2380 N 400 E, Ste C, North Logan, UT 84341
Phone: 435-753-7337    
Ian Michael Troesoyer, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1515 N 400 E Ste 104, North Logan, UT 84341
Phone: 435-755-6061    
Michelle C Bailey, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2380 N 400 E Ste B, North Logan, UT 84341
Phone: 435-752-5741    

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.