Tyler Ashton Bridgewater, FNP-C in Bountiful, UT

Tyler Ashton Bridgewater, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bountiful, Utah. His current practice location is 401 S 400 E, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 295-2361.

Tyler Ashton Bridgewater is licensed to practice in Utah (license number 7078841-4405) 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 1215378377.

Contact Information

	Tyler Ashton Bridgewater, FNP-C
	401 S 400 E, Bountiful, UT 84010-4933
	(801) 295-2361
	Not Available

Map and Direction

Provider's Profile

Full Name	Tyler Ashton Bridgewater
Gender	Male
Speciality	Nurse Practitioner - Family
Location	401 S 400 E, Bountiful, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215378377
Provider Enumeration Date: 07/17/2013
Last Update Date: 07/17/2013

Medicare PECOS Information:

PECOS PAC ID: 6406148444
Enrollment ID: I20240717001650

Medical Identifiers

Medical identifiers for Tyler Ashton Bridgewater such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215378377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7078841-4405 (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. Tyler Ashton Bridgewater allows following entities to bill medicare on his behalf.

Entity Name	Gadzoom Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770187163 PECOS PAC ID: 3476954793 Enrollment ID: O20210624000883

Entity Name	Careconnectmd Utah Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619658002 PECOS PAC ID: 7113457540 Enrollment ID: O20250213003132

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. Tyler Ashton Bridgewater 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
Tyler Ashton Bridgewater, FNP-C 976 Foxboro Dr, North Salt Lake, UT 84054-6002 Ph: (801) 244-8968	Tyler Ashton Bridgewater, FNP-C 401 S 400 E, Bountiful, UT 84010-4933 Ph: (801) 295-2361

Reviews and Comments

Nurse Practitioner Nurses in Bountiful, UT

Andrew Garver, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste A100, Bountiful, UT 84010 Phone: 801-683-1062
Kenzlee Wooden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 845 S Main St Ste A7, Bountiful, UT 84010 Phone: 801-298-0903
Daelyn Tasha Clawson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6670
Mandi Spens, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781
Miss Lauren Lightfield, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 458 N 500 W, Bountiful, UT 84010 Phone: 801-292-9355 Fax: 801-296-8050
Sarah Elizabeth Mcmillin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W 3100 S, Bountiful, UT 84010 Phone: 801-668-7479
Mistie Sue Manning, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010 Phone: 801-747-7244

Tyler Ashton Bridgewater, FNP-C - Medicare Nurse Practitioner in Bountiful, UT