Samantha Bolton, DNP is a medicare enrolled "Advanced Practice Midwife" in Riverton, Utah. Her current practice location is
3723 W 12600 S Ste 360, Riverton, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 285-4700.
Samantha Bolton is licensed to practice in Utah (license number 8510211-4402) 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 1558059683.
Provider's Profile
Full Name | Samantha Bolton |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 3723 W 12600 S Ste 360, Riverton, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558059683
- Provider Enumeration Date: 04/26/2023
- Last Update Date: 01/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991239626
- Enrollment ID: I20241118000239
Medical Identifiers
Medical identifiers for Samantha Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558059683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 8510211-3102 (Utah) | Secondary |
363L00000X | Nurse Practitioner | 8510211-4402 (Utah) | Secondary |
367A00000X | Advanced Practice Midwife | 8510211-4402 (Utah) | Primary |
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. Samantha Bolton 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 |
Samantha Bolton, DNP 10 S 2000 E, Salt Lake City, UT 84112-5880 Ph: () - | Samantha Bolton, DNP 3723 W 12600 S Ste 360, Riverton, UT 84065-7296 Ph: (801) 285-4700 |
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