Trent Kenworthy, FNP-C is a medicare enrolled "Dermatology" in St George, Utah. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Acuity Wound Care, Bridge Clinic, Pllc and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407321722.
Provider's Profile
| Full Name | Trent Kenworthy |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 230 N 1680 E Ste N, St George, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Trent Kenworthy graduated from nursing school in 2018
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 |
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| 1407321722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 7858417-4405 (Utah) | Secondary |
| 207N00000X | Dermatology | 7858417-4405 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Acuity Wound Care | 4688108814 | 3 |
| Bridge Clinic, Pllc | 4981136967 | 2 |
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 |
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| 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 |
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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. 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 |
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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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