Tanner Wolz Radford, CRNA in American Fork, UT

Tanner Wolz Radford, CRNA is a medicare enrolled "Registered Nurse" in American Fork, Utah. His current practice location is 170 N 1100 E, American Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 432-2677.

Tanner Wolz Radford is licensed to practice in Florida (license number RN9546186) 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 1366150336.

Contact Information

	Tanner Wolz Radford, CRNA
	170 N 1100 E, American Fork, UT 84003-2096
	(801) 432-2677
	Not Available

Map and Direction

Provider's Profile

Full Name	Tanner Wolz Radford
Gender	Male
Speciality	Registered Nurse
Location	170 N 1100 E, American Fork, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366150336
Provider Enumeration Date: 11/09/2022
Last Update Date: 11/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7810360047
Enrollment ID: I20230308002020

Medical Identifiers

Medical identifiers for Tanner Wolz Radford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366150336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9546186 (Florida)	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. Tanner Wolz Radford allows following entities to bill medicare on his behalf.

Entity Name	Rocky Mountain Anesthesiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487683215 PECOS PAC ID: 6305809492 Enrollment ID: O20041109001170

Entity Name	Nph Anesthesia Of Utah Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268

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. Tanner Wolz Radford 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
Tanner Wolz Radford, CRNA 170 N 1100 E, American Fork, UT 84003-2096 Ph: (801) 432-2677	Tanner Wolz Radford, CRNA 170 N 1100 E, American Fork, UT 84003-2096 Ph: (801) 432-2677

Reviews and Comments

Registered Nurse Nurses in American Fork, UT

Madeliene Alexandra Peterson, Registered Nurse Medicare: Medicare Enrolled Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3267 Fax: 801-855-3251
Autumn Hamilton, PMHNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 396 E 60 S, American Fork, UT 84003 Phone: 360-515-6545
Nathan Michael Mabon, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3300
Jessica Ann Fraughton, FNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3337
Matthew Kanenwisher, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 464 N 680 W, American Fork, UT 84003 Phone: 801-369-1709
Tisha Dayton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 395 E 60 S, American Fork, UT 84003 Phone: 801-763-7263 Fax: 801-206-6462
Emily Lailhengue, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1159 E 200 N Ste 300, American Fork, UT 84003 Phone: 801-357-7530

Tanner Wolz Radford, CRNA - Medicare Registered Nurse in American Fork, UT