Brooke Davis Benincosa, is a
Registered Nurse - General Practice based in Huntsville, Utah. Brooke Davis Benincosa is licensed to practice in Utah (license number 8145482-3102) and her current practice location is
2891 Evergreen Park Dr, Huntsville, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 497-1872.
NPI number for Brooke Davis Benincosa is 1194440180 and her current mailing address is 2891 Evergreen Park Dr, Huntsville, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194440180.
Provider's Profile
Full Name | Brooke Davis Benincosa |
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Gender | Female |
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Speciality | Registered Nurse - General Practice |
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Location | 2891 Evergreen Park Dr, Huntsville, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194440180
- Provider Enumeration Date: 10/11/2022
- Last Update Date: 10/11/2022
Medical Identifiers
Medical identifiers for Brooke Davis Benincosa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194440180 | NPI | - | NPPES |
8014971872 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 8145482-3102 (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. Brooke Davis Benincosa 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 |
Brooke Davis Benincosa, 2891 Evergreen Park Dr, Huntsville, UT 84317-9686 Ph: (801) 497-1872 | Brooke Davis Benincosa, 2891 Evergreen Park Dr, Huntsville, UT 84317-9686 Ph: (801) 497-1872 |
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