Cross Country Holdings, P.c. is a medicare enrolled "Family Medicine" provider in Ogden, Utah. Their current practice location is
1900 Washington Blvd, Ste 104, Ogden, Utah. You can reach out to their office (for appointments etc.) via phone at
(801) 612-1085.
Cross Country Holdings, P.c. is licensed to practice in Utah (license number 4891288-1204) and it also participates in the medicare program. Cross Country Holdings, P.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1578937801.
Healthcare Provider's Profile
| Full Name | Cross Country Holdings, P.c. |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 1900 Washington Blvd, Ogden, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578937801
- Provider Enumeration Date: 11/24/2015
- Last Update Date: 09/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 7517260896
- Enrollment ID: O20160120001088
Medical Identifiers
Medical identifiers for Cross Country Holdings, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578937801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 7387084-1202 (Utah) | Secondary |
| 111N00000X | Chiropractor | 7387085-1202 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 9579184-1206 (Utah) | Secondary |
| 207Q00000X | Family Medicine | 4891288-1204 (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.
Cross Country Holdings, P.c. acts as a billing entity for following providers:
| Provider Name | Jennifer L Kocour |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1841472610
PECOS PAC ID: 7113067463
Enrollment ID: I20091222000371 |
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| Provider Name | Joshua R Phelps |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1255513107
PECOS PAC ID: 0840330197
Enrollment ID: I20091222000391 |
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| Provider Name | Joshua R Phelps |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1255513107
PECOS PAC ID: 0840330197
Enrollment ID: I20220706003463 |
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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. Cross Country Holdings, P.c. 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 |
|---|
Cross Country Holdings, P.c.
1900 Washington Blvd, Ste 104,
Ogden, UT 84401-6849
Ph: (801) 612-1085 | Cross Country Holdings, P.c.
1900 Washington Blvd, Ste 104,
Ogden, UT 84401-6849
Ph: (801) 612-1085 |
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