Dr Nan E Hodge, DPM is a medicare enrolled "Podiatrist" provider in Slc, Utah. Her current practice location is
500 Foothill Blvd, Mail Stop #112, Slc, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 582-1565.
Dr Nan E Hodge is licensed to practice in Utah (license number 4769118-0501) 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 1699863332.
Healthcare Provider's Profile
| Full Name | Dr Nan E Hodge |
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| Gender | Female |
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| Speciality | Podiatrist |
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| Location | 500 Foothill Blvd, Slc, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699863332
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6103885157
- Enrollment ID: I20041006000668
Medical Identifiers
Medical identifiers for Dr Nan E Hodge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699863332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 4769118-0501 (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. Dr Nan E Hodge allows following entities to bill medicare on her behalf.
| Provider Name | Welscare Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831961804
PECOS PAC ID: 6901253780
Enrollment ID: O20231116000642 |
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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. Dr Nan E Hodge 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 |
|---|
Dr Nan E Hodge, DPM
500 Foothill Blvd, Mail Stop #112,
Slc, UT 84148-0001
Ph: (801) 582-1565 | Dr Nan E Hodge, DPM
500 Foothill Blvd, Mail Stop #112,
Slc, UT 84148-0001
Ph: (801) 582-1565 |
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