Walstir H Fonseca, MD - Medicare Internal Medicine in Lindon, UT

Walstir H Fonseca, MD is a medicare enrolled "Internal Medicine" physician in Lindon, Utah. Her current practice location is 76 S Kings Peak Dr, Lindon, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 370-5193.

Walstir H Fonseca is licensed to practice in Utah (license number 329175-1205) 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 1013933506.

Contact Information

Walstir H Fonseca, MD
76 S Kings Peak Dr,
Lindon, UT 84042-2223
(801) 370-5193
Not Available



Physician's Profile

Full NameWalstir H Fonseca
GenderFemale
SpecialityInternal Medicine
Location76 S Kings Peak Dr, Lindon, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013933506
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 11/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547247223
  • Enrollment ID: I20040630000977

Medical Identifiers

Medical identifiers for Walstir H Fonseca such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013933506NPI-NPPES
04-00322OtherUTUNITED HEALTHCARE
110166693OtherUTPALMETTO
QM0000000074OtherUTALTIUS
286636OtherUTDMBA
46639OtherUTPEHP
870281028FO1OtherUTEMIA
107007883101OtherUTIHC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 329175-1205 (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. Walstir H Fonseca allows following entities to bill medicare on her behalf.
Entity NameCentral Utah Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805

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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. Walstir H Fonseca 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 AddressPractice Location Address
Walstir H Fonseca, MD
76 S Kings Peak Dr,
Lindon, UT 84042-2223

Ph: (801) 370-5193
Walstir H Fonseca, MD
76 S Kings Peak Dr,
Lindon, UT 84042-2223

Ph: (801) 370-5193

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Internal Medicine Doctors in Lindon, UT


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