Samantha Gajkowski, APRN, AGNP-C - Medicare Nurse Practitioner in West Valley City, UT

Samantha Gajkowski, APRN, AGNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in West Valley City, Utah. Her current practice location is 1778 West 4100 South, West Valley City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 964-8726.

Samantha Gajkowski is licensed to practice in Utah (license number 13475405-4405) 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 1043912298.

Contact Information

Samantha Gajkowski, APRN, AGNP-C
1778 West 4100 South,
West Valley City, UT 84119
(801) 964-8726
Not Available



Provider's Profile

Full NameSamantha Gajkowski
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location1778 West 4100 South, West Valley City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043912298
  • Provider Enumeration Date: 03/21/2023
  • Last Update Date: 04/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183072119
  • Enrollment ID: I20231130002384

Medical Identifiers

Medical identifiers for Samantha Gajkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043912298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN.453580 (Ohio)Secondary
363LP2300XNurse Practitioner - Primary Care 13475405-4405 (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. Samantha Gajkowski allows following entities to bill medicare on her behalf.
Entity NameWest Valley Family And Preventive Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326169632
PECOS PAC ID: 0547174229
Enrollment ID: O20031117000748

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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. Samantha Gajkowski 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
Samantha Gajkowski, APRN, AGNP-C
1778 West 4100 South,
West Valley City, UT 84119

Ph: (801) 964-8726
Samantha Gajkowski, APRN, AGNP-C
1778 West 4100 South,
West Valley City, UT 84119

Ph: (801) 964-8726

News Archive

Researchers develop potential technique for breast cancer diagnosis using histopathology images

An international team comprising engineers, mathematicians and doctors has applied a technique used for detecting damage in underwater marine structures to identify cancerous cells in breast cancer histopathology images.

Controlled utility study results of BGM Galectin-3 test for heart failure published in cardiology journal

BG Medicine, Inc. announced today that the results of a controlled study on the utility of its galectin-3 test in heart failure were published in the Journal Clinical Research in Cardiology, a peer-reviewed, international journal that publishes original research and review articles on clinical research studies in the field of cardiology.

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Most likely cause of operating room fires are lasers and electrosurgical devices: Study

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› Verified 4 days ago


Nurse Practitioner Nurses in West Valley City, UT

Danielle Renee Puri, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3448 West 3200 South, West Valley City, UT 84119
Phone: 801-359-2256    Fax: 801-364-4392
Dr. Valerie Rebekah Birdsall, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1906 W 3600 S, West Valley City, UT 84119
Phone: 801-973-9675    
Kristen Gulock, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2965 W 3500 S, West Valley City, UT 84119
Phone: 801-965-3424    
Tonya Wright, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4052 W Pioneer Pkwy, West Valley City, UT 84120
Phone: 801-386-1250    
Mrs. Mary D Joyce, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3730 W 4700 S, West Valley City, UT 84118
Phone: 801-581-2121    
Ms. Carina Lesser, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3725 W 4100 S, West Valley City, UT 84120
Phone: 801-965-3600    Fax: 801-965-3740
Jonathan Rohwer, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4701 W 2100 S, West Valley City, UT 84120
Phone: 801-974-3382    

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