Tina Nackos, CNM in Provo, UT - Medicare Advanced Practice Midwife

Tina Nackos, CNM is a medicare enrolled "Advanced Practice Midwife" in Provo, Utah. Her current practice location is 585 N 500 W, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 404-5588.

Tina Nackos is licensed to practice in * (Not Available) (license number ) 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 1770021123.

Contact Information

	Tina Nackos, CNM
	585 N 500 W, Provo, UT 84601-1548
	(801) 404-5588
	Not Available

Map and Direction

Provider's Profile

Full Name	Tina Nackos
Gender	Female
Speciality	Advanced Practice Midwife
Location	585 N 500 W, 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: 1770021123
Provider Enumeration Date: 02/06/2017
Last Update Date: 02/06/2017

Medicare PECOS Information:

PECOS PAC ID: 3274801519
Enrollment ID: I20170609001834

Medical Identifiers

Medical identifiers for Tina Nackos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770021123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	(* (Not Available))	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. Tina Nackos allows following entities to bill medicare on her behalf.

Entity Name	Valley Obstetrics And Gynecology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588863377 PECOS PAC ID: 5890862726 Enrollment ID: O20080918000547

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. Tina Nackos 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
Tina Nackos, CNM 585 N 500 W, Provo, UT 84601-1548 Ph: (801) 404-5588	Tina Nackos, CNM 585 N 500 W, Provo, UT 84601-1548 Ph: (801) 404-5588

Reviews and Comments

Advanced Practice Midwife Nurses in Provo, UT

Mrs. Renee Proctor Wilson, NP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 585 N 500 W, Provo, UT 84601 Phone: 801-404-5588 Fax: 801-216-8357
Amanda Christensen, PMHNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 585 N 500 W, Provo, UT 84601 Phone: 801-374-1801 Fax: 801-216-8357
Karly Nicole Webster, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 585 N 500 W, Provo, UT 84601 Phone: 801-374-1801

Tina Nackos, CNM - Medicare Advanced Practice Midwife in Provo, UT