Nazaneen Pack, PA-C - Medicare Physician Assistant in Slc, UT

Nazaneen Pack, PA-C is a medicare enrolled "Physician Assistant" in Slc, Utah. Her current practice location is 324 Tenth Ave, Slc, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 408-7500.

Nazaneen Pack is licensed to practice in Utah (license number 8793753-1206) 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 1649691551.

Contact Information

Nazaneen Pack, PA-C
324 Tenth Ave,
Slc, UT 84103-2853
(801) 408-7500
Not Available



Provider's Profile

Full NameNazaneen Pack
GenderFemale
SpecialityPhysician Assistant
Location324 Tenth Ave, Slc, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649691551
  • Provider Enumeration Date: 12/18/2013
  • Last Update Date: 02/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4688897994
  • Enrollment ID: I20140513002213

Medical Identifiers

Medical identifiers for Nazaneen Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649691551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 8793753-1206 (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. Nazaneen Pack 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
Nazaneen Pack, PA-C
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Nazaneen Pack, PA-C
324 Tenth Ave,
Slc, UT 84103-2853

Ph: (801) 408-7500

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Physician Assistant Nurses in Slc, UT

Elizabeth Leeanne Darling, PA-C MPAS
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4252 Highland Dr, #200, Slc, UT 84124
Phone: 801-993-1800    Fax: 801-993-1699
Devin Faye Petersen,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2995 E Middleton Way, Slc, UT 84124
Phone: 801-597-6419    
Regan K. Brooks, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4252 Highland Dr., #200, Slc, UT 84124
Phone: 801-993-1800    Fax: 801-993-1699
Nancy J Stevenson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4000 S 700 E, Ste 10, Slc, UT 84107
Phone: 801-268-4141    Fax: 801-261-8609
Heather Lynn Walton, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Circle Of Hope, Clinic 2e, Slc, UT 84112
Phone: 801-587-4024    Fax: 801-585-3846
Mrs. Haley Eryn Maires, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 N Mario Capecchi Dr, Slc, UT 84113
Phone: 801-662-5566    
Lauren Joan Olson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1950 Circle Of Hope, 4th Floor, Slc, UT 84112
Phone: 801-585-0100    Fax: 801-585-2935

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