Jeannett Eileen Madsen, APRN in Salt Lake City, UT

Jeannett Eileen Madsen, APRN is a medicare enrolled "Nurse Practitioner" in Salt Lake City, Utah. Her current practice location is 850 E 300 S Ste 6, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 440-4171.

Jeannett Eileen Madsen is licensed to practice in Utah (license number 323449-4405) 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 1922784933.

Contact Information

	Jeannett Eileen Madsen, APRN
	850 E 300 S Ste 6, Salt Lake City, UT 84102-2332
	(801) 440-4171
	(773) 373-0313

Map and Direction

Provider's Profile

Full Name	Jeannett Eileen Madsen
Gender	Female
Speciality	Nurse Practitioner
Location	850 E 300 S Ste 6, 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: 1922784933
Provider Enumeration Date: 06/26/2023
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 0345694386
Enrollment ID: I20230926001237

Medical Identifiers

Medical identifiers for Jeannett Eileen Madsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922784933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	323449-4405 (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. Jeannett Eileen Madsen 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. Jeannett Eileen Madsen 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
Jeannett Eileen Madsen, APRN 1820 Sidewinder Dr Ste 100, Park City, UT 84060-7563 Ph: (435) 658-9998	Jeannett Eileen Madsen, APRN 850 E 300 S Ste 6, Salt Lake City, UT 84102-2332 Ph: (801) 440-4171

Reviews and Comments

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Jeannett Eileen Madsen, APRN - Medicare Nurse Practitioner in Salt Lake City, UT