Amber Hawk, APRN in Salt Lake City, UT - Medicare Nurse Practitioner

Amber Hawk, APRN is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. Her current practice location is 1200 E 3900 S, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 268-7111.

Amber Hawk is licensed to practice in Utah (license number 5977222-4405) 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 1679204176.

Contact Information

	Amber Hawk, APRN
	1200 E 3900 S, Salt Lake City, UT 84124-1300
	(801) 268-7111
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Hawk
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1200 E 3900 S, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679204176
Provider Enumeration Date: 06/23/2022
Last Update Date: 11/29/2023

Medicare PECOS Information:

PECOS PAC ID: 4183009707
Enrollment ID: I20220919001910

Medical Identifiers

Medical identifiers for Amber Hawk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679204176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5977222-4405 (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. Amber Hawk allows following entities to bill medicare on her behalf.

Entity Name	Utah Regional Hospitalists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236

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. Amber Hawk 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
Amber Hawk, APRN 5505 S 900 E Ste 240, Murray, UT 84117-7210 Ph: () -	Amber Hawk, APRN 1200 E 3900 S, Salt Lake City, UT 84124-1300 Ph: (801) 268-7111

Reviews and Comments

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Amber Hawk, APRN - Medicare Nurse Practitioner in Salt Lake City, UT