Mr Samuel Weston Potter, FNP-C in Magna, UT - Medicare Nurse Practitioner

Mr Samuel Weston Potter, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Magna, Utah. His current practice location is 3665 S 8400 W, Magna, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 250-9638.

Mr Samuel Weston Potter is licensed to practice in Utah (license number 7664963-4405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407563109.

Contact Information

	Mr Samuel Weston Potter, FNP-C
	3665 S 8400 W, Magna, UT 84044-4907
	(801) 250-9638
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Samuel Weston Potter
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3665 S 8400 W, Magna, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407563109
Provider Enumeration Date: 11/01/2022
Last Update Date: 11/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6204206626
Enrollment ID: I20221229002124

Medical Identifiers

Medical identifiers for Mr Samuel Weston Potter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407563109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7664963-4405 (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. Mr Samuel Weston Potter allows following entities to bill medicare on his behalf.

Entity Name	Exodus Healthcare Network Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306952783 PECOS PAC ID: 1456265057 Enrollment ID: O20031118000408

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 Samuel Weston Potter 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 Samuel Weston Potter, FNP-C 2112 W 3300 S Apt E301, West Haven, UT 84401-9160 Ph: (801) 347-1646	Mr Samuel Weston Potter, FNP-C 3665 S 8400 W, Magna, UT 84044-4907 Ph: (801) 250-9638

Reviews and Comments

Nurse Practitioner Nurses in Magna, UT

Lindsay Royer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638
Dr. Tyler Dawn Cooper, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2780 S Autosome Ln Apt A406, Magna, UT 84044 Phone: 775-304-3811
Monique Rose Poisson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638
Elizabeth Bernadette Borys, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W Ste 110, Magna, UT 84044 Phone: 801-250-9638
Seida Leticia Rocha, A.P.R.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638
Ellen Marie Choi Kahn, MSN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638

Mr Samuel Weston Potter, FNP-C - Medicare Nurse Practitioner in Magna, UT