Dr Channing Jovi Cochran, PSYD - Medicare Psychologist in Salt Lake City, UT

Dr Channing Jovi Cochran, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Salt Lake City, Utah. Her current practice location is 500 Foothill Blvd, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 582-1565.

Dr Channing Jovi Cochran is licensed to practice in Utah (license number 11454015-2501) 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 1053947804.

Contact Information

Dr Channing Jovi Cochran, PSYD
500 Foothill Blvd,
Salt Lake City, UT 84148-0001
(801) 582-1565
Not Available



Healthcare Provider's Profile

Full NameDr Channing Jovi Cochran
GenderFemale
SpecialityPsychologist - Clinical
Location500 Foothill Blvd, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053947804
  • Provider Enumeration Date: 03/12/2020
  • Last Update Date: 01/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264802727
  • Enrollment ID: I20221228002242

Medical Identifiers

Medical identifiers for Dr Channing Jovi Cochran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053947804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 11454015-2501 (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. Dr Channing Jovi Cochran allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Utah Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740688613
PECOS PAC ID: 9537483607
Enrollment ID: O20150120001118

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Entity NameUniversity Of Utah Pediatric Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649631599
PECOS PAC ID: 3870886898
Enrollment ID: O20160727002309

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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. Dr Channing Jovi Cochran 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
Dr Channing Jovi Cochran, PSYD
5114 Medical Dr Apt 2352,
San Antonio, TX 78229-3878

Ph: (256) 651-0089
Dr Channing Jovi Cochran, PSYD
500 Foothill Blvd,
Salt Lake City, UT 84148-0001

Ph: (801) 582-1565

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Psychologist in Salt Lake City, UT

Dr. Rachel Leigh Hopkins, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 164 S 900 E, Salt Lake City, UT 84102
Phone: 801-419-0139    Fax: 385-227-8099
Megan Wall,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 464 E 3rd Ave, Salt Lake City, UT 84103
Phone: 609-462-5974    
Dr. Charlotte J Ferrin, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1399 S 700 E, Suite 11, Salt Lake City, UT 84105
Phone: 801-231-5795    
Kelly Stout, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 295 S Chipeta Way, Salt Lake City, UT 84108
Phone: 801-213-3469    
Jordan Kugler, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 170 S 1000 E Ste 201, Salt Lake City, UT 84102
Phone: 402-578-7426    
Bruce Dennis Etringer, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 675 E 2100 S Ste 250, Salt Lake City, UT 84106
Phone: 801-467-8890    Fax: 801-484-3862
Dr. Ann H Tyler, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4505 So Wasatch Blvd, Suite #380, Salt Lake City, UT 84124
Phone: 801-273-7835    

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