Mrs Cortnee Lynn Roman, FNP in Salt Lake City, UT

Mrs Cortnee Lynn Roman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. Her current practice location is 370 9th Ave, Suite 106, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 262-3441.

Mrs Cortnee Lynn Roman is licensed to practice in Utah (license number 7286119-4405) 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 1356585210.

Contact Information

	Mrs Cortnee Lynn Roman, FNP
	370 9th Ave, Suite 106, Salt Lake City, UT 84103-2877
	(801) 262-3441
	(801) 269-9005

Map and Direction

Provider's Profile

Full Name	Mrs Cortnee Lynn Roman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	370 9th Ave, 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: 1356585210
Provider Enumeration Date: 04/22/2009
Last Update Date: 07/21/2021

Medicare PECOS Information:

PECOS PAC ID: 8527229350
Enrollment ID: I20120423000005

Medical Identifiers

Medical identifiers for Mrs Cortnee Lynn Roman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356585210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	587949 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F335849-1 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	7286119-4405 (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. Mrs Cortnee Lynn Roman allows following entities to bill medicare on her behalf.

Entity Name	Dr John Foley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437330974 PECOS PAC ID: 0749201747 Enrollment ID: O20051216000621

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. Mrs Cortnee Lynn Roman 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
Mrs Cortnee Lynn Roman, FNP 370 E 9th Ave Ste 106, Salt Lake City, UT 84103-3182 Ph: (801) 408-5700	Mrs Cortnee Lynn Roman, FNP 370 9th Ave, Suite 106, Salt Lake City, UT 84103-2877 Ph: (801) 262-3441

Reviews and Comments

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Mrs Cortnee Lynn Roman, FNP - Medicare Nurse Practitioner in Salt Lake City, UT