Nancy Marie Raymond, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Family" provider in West Jordan, Utah. Her current practice location is
9103 S 1300 W Ste 102, West Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 417-0131.
Nancy Marie Raymond is licensed to practice in Utah (license number 10858695-4405) 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 1144994344.
Healthcare Provider's Profile
| Full Name | Nancy Marie Raymond |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 9103 S 1300 W Ste 102, West Jordan, 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: 1144994344
- Provider Enumeration Date: 08/03/2021
- Last Update Date: 02/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204275779
- Enrollment ID: I20240416004207
Medical Identifiers
Medical identifiers for Nancy Marie Raymond such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144994344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10858695-4405 (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. Nancy Marie Raymond allows following entities to bill medicare on her behalf.
| Entity Name | Utah Partners For Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508299892 PECOS PAC ID: 8224262480 Enrollment ID: O20131002000251 |
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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. Nancy Marie Raymond 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 |
Nancy Marie Raymond, PMHNP-BC Po Box 396, Springboro, OH 45066-0396 Ph: (801) 674-5668 | Nancy Marie Raymond, PMHNP-BC 9103 S 1300 W Ste 102, West Jordan, UT 84088-6709 Ph: (801) 417-0131 |
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