Samantha Jane Cook, FNP in Provo, UT - Medicare Nurse Practitioner

Samantha Jane Cook, FNP is a medicare enrolled "Nurse Practitioner - Family" in Provo, Utah. Her current practice location is 395 W Cougar Blvd Ste 603, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 357-0423.

Samantha Jane Cook is licensed to practice in Utah (license number 10778291-4405) 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 1366174377.

Contact Information

	Samantha Jane Cook, FNP
	395 W Cougar Blvd Ste 603, Provo, UT 84604-3331
	(801) 357-0423
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Jane Cook
Gender	Female
Speciality	Nurse Practitioner - Family
Location	395 W Cougar Blvd Ste 603, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366174377
Provider Enumeration Date: 06/28/2022
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 3577947563
Enrollment ID: I20220824002938

Medical Identifiers

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

Identifier	Type	State	Issuer
1366174377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	10778291-3102 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	10778291-4405 (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 Jane Cook allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 Jane Cook 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 Jane Cook, FNP 200 S 1350 E Apt C501, Lehi, UT 84043-4481 Ph: (801) 898-1676	Samantha Jane Cook, FNP 395 W Cougar Blvd Ste 603, Provo, UT 84604-3331 Ph: (801) 357-0423

Reviews and Comments

Nurse Practitioner Nurses in Provo, UT

Sharla Morgan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-356-1300 Fax: 801-356-1304
Ashley Saunders, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 Fax: 801-812-5034
Mr. Michael Frank Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811
Connie Denise Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606 Phone: 801-877-5801 Fax: 801-877-5802
Jennifer Lynn Osborne, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-429-8191
Amber Elexis Marsh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd, Provo, UT 84604 Phone: 801-357-7850
Melissa Sue Guest, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760

Samantha Jane Cook, FNP - Medicare Nurse Practitioner in Provo, UT