Jennifer J Peacock, DNP, APRN, NNP-BC - Medicare Clinical Nurse Specialist in Riverton, UT

Jennifer J Peacock, DNP, APRN, NNP-BC is a medicare enrolled "Clinical Nurse Specialist - Neonatal" in Riverton, Utah. Her current practice location is 2818 W 12875 S, Riverton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 232-6595.

Jennifer J Peacock is licensed to practice in Utah (license number 289188-4405) 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 1336513704.

Contact Information

Jennifer J Peacock, DNP, APRN, NNP-BC
2818 W 12875 S,
Riverton, UT 84065-6837
(801) 232-6595
Not Available



Provider's Profile

Full NameJennifer J Peacock
GenderFemale
SpecialityClinical Nurse Specialist - Neonatal
Location2818 W 12875 S, Riverton, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336513704
  • Provider Enumeration Date: 11/22/2015
  • Last Update Date: 09/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3678872561
  • Enrollment ID: I20170209002267

Medical Identifiers

Medical identifiers for Jennifer J Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336513704NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SN0000XClinical Nurse Specialist - Neonatal 289188-4405 (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. Jennifer J Peacock allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Jennifer J Peacock 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 AddressPractice Location Address
Jennifer J Peacock, DNP, APRN, NNP-BC
100 N Mario Capecchi Dr,
Salt Lake City, UT 84113-1103

Ph: (801) 662-4100
Jennifer J Peacock, DNP, APRN, NNP-BC
2818 W 12875 S,
Riverton, UT 84065-6837

Ph: (801) 232-6595

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Clinical Nurse Specialist Nurses in Riverton, UT


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