Mckenna Stapleton, in Salt Lake City, UT - Medicare Nurse Practitioner

Mckenna Stapleton, is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. Her current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (615) 557-7022.

Mckenna Stapleton is licensed to practice in Utah (license number 10406372-4405) 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 1356918387.

Contact Information

	Mckenna Stapleton,
	50 N Medical Dr, Salt Lake City, UT 84132-0001
	(615) 557-7022
	Not Available

Map and Direction

Provider's Profile

Full Name	Mckenna Stapleton
Gender	Female
Speciality	Nurse Practitioner - Family
Location	50 N Medical Dr, 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: 1356918387
Provider Enumeration Date: 06/08/2021
Last Update Date: 12/12/2022

Medicare PECOS Information:

PECOS PAC ID: 4183093859
Enrollment ID: I20221220001573

Medical Identifiers

Medical identifiers for Mckenna Stapleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356918387	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LS0200X	Nurse Practitioner - School	10406372-3102 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	10406372-4405 (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. Mckenna Stapleton allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043614811 PECOS PAC ID: 2961726831 Enrollment ID: O20150123002141

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. Mckenna Stapleton 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
Mckenna Stapleton, 658 E Wilson Ave, Salt Lake City, UT 84105-3008 Ph: (615) 557-7022	Mckenna Stapleton, 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (615) 557-7022

Reviews and Comments

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Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
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Mckenna Stapleton, - Medicare Nurse Practitioner in Salt Lake City, UT