Mrs Giovana Martendal King, NNP-BC in Salt Lake City, UT

Mrs Giovana Martendal King, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Salt Lake City, Utah. Her current practice location is 100 Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 662-4100.

Mrs Giovana Martendal King is licensed to practice in Utah (license number 7752012-4405) 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 1013227701.

Contact Information

	Mrs Giovana Martendal King, NNP-BC
	100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103
	(801) 662-4100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Giovana Martendal King
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	100 Mario Capecchi Dr, 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: 1013227701
Provider Enumeration Date: 10/14/2010
Last Update Date: 10/14/2010

Medicare PECOS Information:

PECOS PAC ID: 7315265493
Enrollment ID: I20250508001654

Medical Identifiers

Medical identifiers for Mrs Giovana Martendal King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013227701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	7752012-4405 (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. Mrs Giovana Martendal King allows following entities to bill medicare on her behalf.

Entity Name	Ou Health Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618

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. Mrs Giovana Martendal King 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
Mrs Giovana Martendal King, NNP-BC 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-4100	Mrs Giovana Martendal King, NNP-BC 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-4100

Reviews and Comments

Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999
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Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166

Mrs Giovana Martendal King, NNP-BC - Medicare Nurse Practitioner in Salt Lake City, UT