Trent Kenworthy, FNP-C is a medicare enrolled "Dermatology" in St George, Utah. His current practice location is 
230 N 1680 E Ste N, St George, Utah. You can reach out to his office (for appointments etc.) via phone at 
(435) 680-3376.
Trent Kenworthy is licensed to practice in Utah (license number 7858417-4405) 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 1407321722.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Trent Kenworthy | 
|---|
| Gender | Male | 
|---|
| Speciality | Dermatology | 
|---|
| Location | 230 N 1680 E Ste N, St George, 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: 1407321722
- Provider Enumeration Date: 10/13/2018
- Last Update Date: 03/19/2025
  Medicare PECOS Information:
- PECOS PAC ID: 3971845637
- Enrollment ID: I20190429001247
 
		 
		 
Medical Identifiers
		Medical identifiers for Trent Kenworthy such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1407321722 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 363LF0000X | Nurse Practitioner - Family | 7858417-4405 (Utah) | Secondary | 
| 207N00000X | Dermatology | 7858417-4405 (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. Trent Kenworthy allows following entities to bill medicare on his behalf.
| Entity Name | Bridge Clinic, Pllc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1194561670 PECOS PAC ID: 4981136967
 Enrollment ID: O20241015003475
 | 
|---|
| Entity Name | Acuity Wound Care | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1275350464 PECOS PAC ID: 4688108814
 Enrollment ID: O20241112000141
 | 
|---|
		 
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. Trent Kenworthy 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 | 
|---|
		| Trent Kenworthy, FNP-C 230 N 1680 E Ste N,
 St George, UT 84790-2579
 Ph: (435) 680-3376
 | Trent Kenworthy, FNP-C 230 N 1680 E Ste N,
 St George, UT 84790-2579
 Ph: (435) 680-3376
 | 
		
		 
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