Sarah Jackson, DNP is a medicare enrolled "Nurse Practitioner" in Brighton, Utah. Her current practice location is
12000 E Big Cottonwood Canyon Rd, Brighton, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 533-2002.
Sarah Jackson is licensed to practice in Utah (license number 6459721-4405) 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 1992082556.
Provider's Profile
| Full Name | Sarah Jackson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 12000 E Big Cottonwood Canyon Rd, Brighton, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992082556
- Provider Enumeration Date: 11/10/2011
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244499135
- Enrollment ID: I20120313000484
Medical Identifiers
Medical identifiers for Sarah Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992082556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 6459721-4405 (Utah) | Secondary |
| 363L00000X | Nurse Practitioner | 6459721-4405 (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. Sarah Jackson allows following entities to bill medicare on her behalf.
| Entity Name | Physician Group Of Utah Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477676930
PECOS PAC ID: 8022032234
Enrollment ID: O20060113000886 |
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| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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| Entity Name | Catholic Health Initiatives Colorado |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942903562
PECOS PAC ID: 8022927342
Enrollment ID: O20230615001995 |
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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. Sarah Jackson 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 |
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Sarah Jackson, DNP
Po Box 800022,
Kansas City, MO 64180-0022
Ph: () - | Sarah Jackson, DNP
12000 E Big Cottonwood Canyon Rd,
Brighton, UT 84121-9710
Ph: (801) 533-2002 |
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