Katelyn Mock, PA-S is a medicare enrolled "Physician Assistant" physician in Salt Lake City, Utah. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Advanced Dermatology Of Colorado Pc and her current practice location is
50 N Medical Dr Clinic #4, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 581-2719.
Katelyn Mock is licensed to practice in Utah (license number 13565320-1206) 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 1316670284.
Physician's Profile
| Full Name | Katelyn Mock |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 50 N Medical Dr Clinic #4, Salt Lake City, 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:
- Katelyn Mock graduated from medical school in 2023
NPI Data:
- NPI Number: 1316670284
- Provider Enumeration Date: 07/07/2022
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749637387
- Enrollment ID: I20241105002813
Medical Identifiers
Medical identifiers for Katelyn Mock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316670284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 13565320-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 13565320-1206 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Advanced Dermatology Of Colorado Pc | 8325337330 | 61 |
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. Katelyn Mock 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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Katelyn Mock, PA-S
7085 N 2200 W Apt 1f,
Park City, UT 84098-8234
Ph: (540) 455-0854 | Katelyn Mock, PA-S
50 N Medical Dr Clinic #4,
Salt Lake City, UT 84132-0002
Ph: (801) 581-2719 |
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