Kathryn Marie Alfonso, DO in Provo, UT - Medicare Physical Medicine And Rehabilitation

Kathryn Marie Alfonso, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Provo, Utah. She went to Pacific Nw Un Of Hs, Col Of Osteopathic Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Ihc Health Services Inc and her current practice location is 1157 N 300 W Ste 201, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 357-1200.

Kathryn Marie Alfonso is licensed to practice in Utah (license number 14009205-1204) 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 1043744931.

Contact Information

	Kathryn Marie Alfonso, DO
	1157 N 300 W Ste 201, Provo, UT 84604-6124
	(801) 357-1200
	Not Available

Map and Direction

Physician's Profile

Full Name	Kathryn Marie Alfonso
Gender	Female
Speciality	Physical Medicine And Rehabilitation
Experience	9 Years
Location	1157 N 300 W Ste 201, Provo, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathryn Marie Alfonso attended and graduated from Pacific Nw Un Of Hs, Col Of Osteopathic Medicine in 2017

NPI Data:

NPI Number: 1043744931
Provider Enumeration Date: 04/17/2017
Last Update Date: 03/06/2026

Medicare PECOS Information:

PECOS PAC ID: 7416205679
Enrollment ID: I20240716001731

Medical Identifiers

Medical identifiers for Kathryn Marie Alfonso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043744931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	2021-02218 (North Carolina)	Secondary
208100000X	Physical Medicine & Rehabilitation	14009205-1204 (Utah)	Primary
208100000X	Physical Medicine & Rehabilitation	64047 (Minnesota)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
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. Kathryn Marie Alfonso allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Kathryn Marie Alfonso 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
Kathryn Marie Alfonso, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Kathryn Marie Alfonso, DO 1157 N 300 W Ste 201, Provo, UT 84604-6124 Ph: (801) 357-1200

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Provo, UT

Nicholas Brown, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 802, Provo, UT 84604 Phone: 801-357-8818 Fax: 801-357-8817
Dr. Jody Quick Wixom, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 410, Provo, UT 84604 Phone: 801-357-8818
Claire A Gross, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W Ste 201, Provo, UT 84604 Phone: 801-357-1200
Ronald Gary Duerksen, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1055 North 300 West, Suite 416, Provo, UT 84604 Phone: 801-357-7770 Fax: 801-357-7639
Spencer Mazorra Hansen, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 502, Provo, UT 84604 Phone: 801-357-8818 Fax: 801-357-8817
Brian K Olenslager, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3585 N University Ave, Ste 150, Provo, UT 84604 Phone: 801-356-6100 Fax: 801-356-2113

Kathryn Marie Alfonso, DO - Medicare Physical Medicine And Rehabilitation in Provo, UT