Samantha P Bostrom, MD is a
Pediatrics physician based in Clinton, Utah. Samantha P Bostrom is licensed to practice in Utah (license number 327457-1205) and her current practice location is 1477 North 2000 West, Suite C, Clinton, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 774-8888.
NPI number for Samantha P Bostrom is 1881801579 and her current mailing address is 1477 North 2000 West, Suite C, Clinton, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881801579.
Physician's Profile
Full Name | Samantha P Bostrom |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1477 North 2000 West, Clinton, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881801579
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 08/12/2015
Medical Identifiers
Medical identifiers for Samantha P Bostrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881801579 | NPI | - | NPPES |
D2612 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 327457-1205 (Utah) | Primary |
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. Samantha P Bostrom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha P Bostrom, MD 1477 North 2000 West, Suite C, Clinton, UT 84015-8213 Ph: (801) 774-8888 | Samantha P Bostrom, MD 1477 North 2000 West, Suite C, Clinton, UT 84015-8213 Ph: (801) 774-8888 |
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