Sierra Rose Mayzsak, APRN in Ogden, UT - Medicare Nurse Practitioner

Sierra Rose Mayzsak, APRN is a medicare enrolled "Nurse Practitioner - Family" in Ogden, Utah. Her current practice location is 1525 E 6000 S, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 337-5800.

Sierra Rose Mayzsak is licensed to practice in Utah (license number 10086344-4405) 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 1073237624.

Contact Information

	Sierra Rose Mayzsak, APRN
	1525 E 6000 S, Ogden, UT 84405-7144
	(801) 337-5800
	Not Available

Map and Direction

Provider's Profile

Full Name	Sierra Rose Mayzsak
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1525 E 6000 S, Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073237624
Provider Enumeration Date: 09/28/2022
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 8325419872
Enrollment ID: I20230120001900

Medical Identifiers

Medical identifiers for Sierra Rose Mayzsak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073237624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10086344-4405 (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. Sierra Rose Mayzsak allows following entities to bill medicare on her behalf.

Entity Name	Circle Of Life Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548284078 PECOS PAC ID: 5193703544 Enrollment ID: O20040712000677

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. Sierra Rose Mayzsak 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
Sierra Rose Mayzsak, APRN 1525 E 6000 S, Ogden, UT 84405-7144 Ph: (801) 337-5800	Sierra Rose Mayzsak, APRN 1525 E 6000 S, Ogden, UT 84405-7144 Ph: (801) 337-5800

Reviews and Comments

Nurse Practitioner Nurses in Ogden, UT

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Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702

Sierra Rose Mayzsak, APRN - Medicare Nurse Practitioner in Ogden, UT