Dr Channing Jovi Cochran, PSYD in Salt Lake City, UT

Dr Channing Jovi Cochran, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Salt Lake City, Utah. Her current practice location is 500 Foothill Blvd, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 582-1565.

Dr Channing Jovi Cochran is licensed to practice in Utah (license number 11454015-2501) 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 1053947804.

Contact Information

	Dr Channing Jovi Cochran, PSYD
	500 Foothill Blvd, Salt Lake City, UT 84148-0001
	(801) 582-1565
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Channing Jovi Cochran
Gender	Female
Speciality	Psychologist - Clinical
Location	500 Foothill Blvd, 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: 1053947804
Provider Enumeration Date: 03/12/2020
Last Update Date: 01/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2264802727
Enrollment ID: I20221228002242

Medical Identifiers

Medical identifiers for Dr Channing Jovi Cochran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053947804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	11454015-2501 (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. Dr Channing Jovi Cochran allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Pediatric Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309

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. Dr Channing Jovi Cochran 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
Dr Channing Jovi Cochran, PSYD 5114 Medical Dr Apt 2352, San Antonio, TX 78229-3878 Ph: (256) 651-0089	Dr Channing Jovi Cochran, PSYD 500 Foothill Blvd, Salt Lake City, UT 84148-0001 Ph: (801) 582-1565

Reviews and Comments

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Dr Channing Jovi Cochran, PSYD - Medicare Psychologist in Salt Lake City, UT