Liane Beverly Root, in West Jordan, UT - Medicare Registered Nurse

Liane Beverly Root, is a medicare enrolled "Registered Nurse - Pediatrics" in West Jordan, Utah. Her current practice location is 7366 S Brittany Town Dr, West Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 889-6063.

Liane Beverly Root is licensed to practice in Utah (license number 8269312-3102) 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 1336743046.

Contact Information

	Liane Beverly Root,
	7366 S Brittany Town Dr, West Jordan, UT 84084-4609
	(801) 889-6063
	Not Available

Map and Direction

Provider's Profile

Full Name	Liane Beverly Root
Gender	Female
Speciality	Registered Nurse - Pediatrics
Location	7366 S Brittany Town Dr, West Jordan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336743046
Provider Enumeration Date: 11/23/2020
Last Update Date: 11/23/2020

Medicare PECOS Information:

PECOS PAC ID: 2264873306
Enrollment ID: I20240507003717

Medical Identifiers

Medical identifiers for Liane Beverly Root such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336743046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0200X	Registered Nurse - Pediatrics	8269312-3102 (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. Liane Beverly Root allows following entities to bill medicare on her behalf.

Entity Name	Copperview Medical Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316970924 PECOS PAC ID: 4284538976 Enrollment ID: O20031124000640

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. Liane Beverly Root 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
Liane Beverly Root, 7366 S Brittany Town Dr, West Jordan, UT 84084-4609 Ph: (801) 889-6063	Liane Beverly Root, 7366 S Brittany Town Dr, West Jordan, UT 84084-4609 Ph: (801) 889-6063

Reviews and Comments

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Melanie Ward, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4324 Wasatch Meadows Dr, West Jordan, UT 84088 Phone: 801-792-0084
Michelle Tominey Murdock, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Po Box 1103, West Jordan, UT 84084 Phone: 435-979-1007

Liane Beverly Root, - Medicare Registered Nurse in West Jordan, UT