Dr Kelly H Woodward I, DO, MPH is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Park City, Utah. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1984 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ihc Health Services Inc and his current practice location is
5532 Lillehammer Ln Ste 102, Park City, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 659-7633.
Dr Kelly H Woodward I is licensed to practice in Utah (license number 9693614-1204) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548243645.
Physician's Profile
| Full Name | Dr Kelly H Woodward I |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 42 Years |
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| Location | 5532 Lillehammer Ln Ste 102, Park City, Utah |
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| Accepts Medicare Assignments | Yes. He 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 Kelly H Woodward I attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1984
NPI Data:
- NPI Number: 1548243645
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 07/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749356517
- Enrollment ID: I20160707000401
Medical Identifiers
Medical identifiers for Dr Kelly H Woodward I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548243645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 9693614-1204 (Utah) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 9693614-1204 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ihc Health Services Inc | 1850209420 | 3531 |
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 Kelly H Woodward I allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079 |
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| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI 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. Dr Kelly H Woodward I 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 Kelly H Woodward I, DO, MPH
7165 Canyon Dr,
Park City, UT 84098-5382
Ph: (703) 907-9716 | Dr Kelly H Woodward I, DO, MPH
5532 Lillehammer Ln Ste 102,
Park City, UT 84098-6078
Ph: (435) 659-7633 |
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