Mr Jedediah Douglas Kowalski, APRN in South Jordan, UT

Mr Jedediah Douglas Kowalski, APRN is a medicare enrolled "Nurse Practitioner - Family" in South Jordan, Utah. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Of Utah Community Physicians Group and his current practice location is 5126 W Daybreak Pkwy, South Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 656-7647.

Mr Jedediah Douglas Kowalski is licensed to practice in Utah (license number 7964951-4405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366963928.

Contact Information

	Mr Jedediah Douglas Kowalski, APRN
	5126 W Daybreak Pkwy, South Jordan, UT 84009-5994
	(801) 656-7647
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jedediah Douglas Kowalski
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	5126 W Daybreak Pkwy, South Jordan, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jedediah Douglas Kowalski graduated from nursing school in 2017

NPI Data:

NPI Number: 1366963928
Provider Enumeration Date: 07/03/2017
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4183997539
Enrollment ID: I20170906001938

Medical Identifiers

Medical identifiers for Mr Jedediah Douglas Kowalski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366963928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7964951-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Canyon Home Care	Salt lake city, UT	Home health agency
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Community Physicians Group	9739403569	255

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. Mr Jedediah Douglas Kowalski allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Community Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118

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. Mr Jedediah Douglas Kowalski 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
Mr Jedediah Douglas Kowalski, APRN 856 W Rontano Ct, Midvale, UT 84047-1605 Ph: () -	Mr Jedediah Douglas Kowalski, APRN 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 Ph: (801) 656-7647

Reviews and Comments

Nurse Practitioner Nurses in South Jordan, UT

Candice Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10714 S River Front Pkwy, South Jordan, UT 84095 Phone: 844-899-6462
Jennifer Ashton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1268 W South Jordan Pkwy, South Jordan, UT 84095 Phone: 801-254-9700
Samareea Daquator Tesia Saunders, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10920 S River Front Pkwy, South Jordan, UT 84095 Phone: 347-388-0379
Mrs. Michaelle Lei Spears, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 922 W Baxter Dr, South Jordan, UT 84095 Phone: 801-253-3200
Jennifer Christine Oleskowicz, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4621 W Daybreak Rim Way, South Jordan, UT 84009 Phone: 201-294-1489
Natosha L Tullos, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5432 W Copper Needle Way, South Jordan, UT 84009 Phone: 801-898-1770
Vilate M Thur, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3556 W 9800 S, #101, South Jordan, UT 84095 Phone: 801-567-9750 Fax: 801-567-9826

Mr Jedediah Douglas Kowalski, APRN - Medicare Nurse Practitioner in South Jordan, UT