Judith Sawaya Sampson, APRN in Salt Lake City, UT

Judith Sawaya Sampson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. Her current practice location is 3215 Valley St, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 466-3102.

Judith Sawaya Sampson is licensed to practice in Utah (license number 2173224405) 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 1538112214.

Contact Information

	Judith Sawaya Sampson, APRN
	3215 Valley St, Salt Lake City, UT 84109-4217
	(801) 466-3102
	(801) 466-3576

Map and Direction

Provider's Profile

Full Name	Judith Sawaya Sampson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3215 Valley St, 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: 1538112214
Provider Enumeration Date: 05/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4789667429
Enrollment ID: I20040611001201

Medical Identifiers

Medical identifiers for Judith Sawaya Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538112214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2173224405 (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. Judith Sawaya Sampson allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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. Judith Sawaya Sampson 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
Judith Sawaya Sampson, APRN 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047-1889 Ph: (801) 233-4400	Judith Sawaya Sampson, APRN 3215 Valley St, Salt Lake City, UT 84109-4217 Ph: (801) 466-3102

Reviews and Comments

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Judith Sawaya Sampson, APRN - Medicare Nurse Practitioner in Salt Lake City, UT