Samantha Gajkowski, APRN, AGNP-C in West Valley City, UT

Samantha Gajkowski, APRN, AGNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in West Valley City, Utah. Her current practice location is 1778 West 4100 South, West Valley City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 964-8726.

Samantha Gajkowski is licensed to practice in Utah (license number 13475405-4405) 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 1043912298.

Contact Information

	Samantha Gajkowski, APRN, AGNP-C
	1778 West 4100 South, West Valley City, UT 84119
	(801) 964-8726
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Gajkowski
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1778 West 4100 South, West Valley 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: 1043912298
Provider Enumeration Date: 03/21/2023
Last Update Date: 04/12/2024

Medicare PECOS Information:

PECOS PAC ID: 4183072119
Enrollment ID: I20231130002384

Medical Identifiers

Medical identifiers for Samantha Gajkowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043912298	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN.453580 (Ohio)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	13475405-4405 (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. Samantha Gajkowski allows following entities to bill medicare on her behalf.

Entity Name	West Valley Family And Preventive Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326169632 PECOS PAC ID: 0547174229 Enrollment ID: O20031117000748

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. Samantha Gajkowski 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
Samantha Gajkowski, APRN, AGNP-C 1778 West 4100 South, West Valley City, UT 84119 Ph: (801) 964-8726	Samantha Gajkowski, APRN, AGNP-C 1778 West 4100 South, West Valley City, UT 84119 Ph: (801) 964-8726

Reviews and Comments

Nurse Practitioner Nurses in West Valley City, UT

Danielle Renee Puri, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3448 West 3200 South, West Valley City, UT 84119 Phone: 801-359-2256 Fax: 801-364-4392
Kristen Gulock, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3424
Tonya Wright, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4052 W Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-386-1250
Mrs. Mary D Joyce, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3730 W 4700 S, West Valley City, UT 84118 Phone: 801-581-2121
Ms. Carina Lesser, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3740
Jonathan Rohwer, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4701 W 2100 S, West Valley City, UT 84120 Phone: 801-974-3382
Ryan Marcus White, DNP, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600

Samantha Gajkowski, APRN, AGNP-C - Medicare Nurse Practitioner in West Valley City, UT