Dr Angela Keaka Brimhall, DO, MS is a medicare enrolled "Dermatology" physician in Draper, Utah. She went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2007 and has 18 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Sage Dermatology And Mohs Surgery Llc and her current practice location is
11760 S 700 E Ste 112, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 882-9995.
Dr Angela Keaka Brimhall is licensed to practice in Utah (license number 7915314-1204) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770773061.
Physician's Profile
| Full Name | Dr Angela Keaka Brimhall |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 18 Years |
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| Location | 11760 S 700 E Ste 112, Draper, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Angela Keaka Brimhall attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2007
NPI Data:
- NPI Number: 1770773061
- Provider Enumeration Date: 08/01/2007
- Last Update Date: 01/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981879590
- Enrollment ID: I20111209000522
Medical Identifiers
Medical identifiers for Dr Angela Keaka Brimhall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770773061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 7915314-1204 (Utah) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 7915314-1204 (Utah) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sage Dermatology And Mohs Surgery Llc | 7618328782 | 2 |
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 Angela Keaka Brimhall allows following entities to bill medicare on her behalf.
| Entity Name | Woseth Dermatology, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457470585
PECOS PAC ID: 1557392313
Enrollment ID: O20050822001333 |
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| Entity Name | Sage Dermatology And Mohs Surgery Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841065463
PECOS PAC ID: 7618328782
Enrollment ID: O20240112003245 |
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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 Angela Keaka Brimhall 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 |
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Dr Angela Keaka Brimhall, DO, MS
2932 N 1130 W,
Pleasant Grove, UT 84062-8055
Ph: (216) 280-1875 | Dr Angela Keaka Brimhall, DO, MS
11760 S 700 E Ste 112,
Draper, UT 84020-6605
Ph: (801) 882-9995 |
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