Armando Wayne Slack, RN in South Salt Lake, UT

Armando Wayne Slack, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in South Salt Lake, Utah. His current practice location is 3780 S West Temple Ste 201, South Salt Lake, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 444-5800.

Armando Wayne Slack is licensed to practice in Utah (license number 2943544405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659572949.

Contact Information

	Armando Wayne Slack, RN
	3780 S West Temple Ste 201, South Salt Lake, UT 84115-4464
	(385) 444-5800
	Not Available

Map and Direction

Provider's Profile

Full Name	Armando Wayne Slack
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3780 S West Temple Ste 201, South Salt Lake, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659572949
Provider Enumeration Date: 05/31/2007
Last Update Date: 05/15/2025

Medicare PECOS Information:

PECOS PAC ID: 7315288024
Enrollment ID: I20190408000135

Medical Identifiers

Medical identifiers for Armando Wayne Slack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659572949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WA0400X	Registered Nurse - Addiction (substance Use Disorder)	2943543102 (Utah)	Secondary
163WX0200X	Registered Nurse - Oncology	2943543102 (Utah)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2943544405 (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. Armando Wayne Slack allows following entities to bill medicare on his behalf.

Entity Name	Odyssey House Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033143706 PECOS PAC ID: 2365458833 Enrollment ID: O20060222000116

Entity Name	Levo Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740865526 PECOS PAC ID: 2264961390 Enrollment ID: O20250117002866

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. Armando Wayne Slack 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
Armando Wayne Slack, RN 2193 Rifleman Dr, Farmington, UT 84025-2792 Ph: (801) 557-5257	Armando Wayne Slack, RN 3780 S West Temple Ste 201, South Salt Lake, UT 84115-4464 Ph: (385) 444-5800

Reviews and Comments

Nurse Practitioner Nurses in South Salt Lake, UT

Jennifer Michelle Sorto, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186
Jennifer Nicole Twohig, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186
Adam Thomas Creer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2880 S Main St Ste 108, South Salt Lake, UT 84115 Phone: 240-356-1000
Kristen Cox, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 E Farmer Alumni Dr, South Salt Lake, UT 84106 Phone: 385-227-2897
Zhan Wang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186
Leigh-andrew Thomas Sampson-seitz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3269 S Main St Ste 220, South Salt Lake, UT 84115 Phone: 801-656-7124 Fax: 385-243-3021
Dr. Emily Elizabeth Barrows, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846

Armando Wayne Slack, RN - Medicare Nurse Practitioner in South Salt Lake, UT