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.
Provider's Profile
| Full Name | Tina Nackos |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 585 N 500 W, Provo, Utah |
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| 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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588863377 PECOS PAC ID: 5890862726 Enrollment ID: O20080918000547 |
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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 |
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