Susan K Churchill, APRN in Salt Lake City, UT

Susan K Churchill, APRN is a medicare enrolled "Nurse Practitioner" in Salt Lake City, Utah. Her current practice location is 400 C St, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 408-3623.

Susan K Churchill is licensed to practice in Utah (license number 2147004405) 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 1255351409.

Contact Information

	Susan K Churchill, APRN
	400 C St, Salt Lake City, UT 84143-1005
	(801) 408-3623
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan K Churchill
Gender	Female
Speciality	Nurse Practitioner
Location	400 C St, 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: 1255351409
Provider Enumeration Date: 07/20/2006
Last Update Date: 03/18/2008

Medicare PECOS Information:

PECOS PAC ID: 3779507884
Enrollment ID: I20060117000297

Medical Identifiers

Medical identifiers for Susan K Churchill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255351409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2147004405 (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. Susan K Churchill allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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. Susan K Churchill 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
Susan K Churchill, APRN Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 408-3623	Susan K Churchill, APRN 400 C St, Salt Lake City, UT 84143-1005 Ph: (801) 408-3623

Reviews and Comments

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Susan K Churchill, APRN - Medicare Nurse Practitioner in Salt Lake City, UT