Jennifer J Peacock, DNP, APRN, NNP-BC is a medicare enrolled "Clinical Nurse Specialist - Neonatal" in Riverton, Utah. Her current practice location is
2818 W 12875 S, Riverton, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 232-6595.
Jennifer J Peacock is licensed to practice in Utah (license number 289188-4405) 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 1336513704.
Provider's Profile
| Full Name | Jennifer J Peacock |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Neonatal |
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| Location | 2818 W 12875 S, Riverton, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336513704
- Provider Enumeration Date: 11/22/2015
- Last Update Date: 09/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678872561
- Enrollment ID: I20170209002267
Medical Identifiers
Medical identifiers for Jennifer J Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336513704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SN0000X | Clinical Nurse Specialist - Neonatal | 289188-4405 (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. Jennifer J Peacock allows following entities to bill medicare on her behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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. Jennifer J Peacock 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 |
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Jennifer J Peacock, DNP, APRN, NNP-BC
100 N Mario Capecchi Dr,
Salt Lake City, UT 84113-1103
Ph: (801) 662-4100 | Jennifer J Peacock, DNP, APRN, NNP-BC
2818 W 12875 S,
Riverton, UT 84065-6837
Ph: (801) 232-6595 |
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