Kelly Dahlstrom, DO - Medicare Diagnostic Radiology in Salt Lake City, UT

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Kelly Dahlstrom, DO is a medicare enrolled "Radiology - Neuroradiology" physician in Salt Lake City, Utah. She went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2014 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Kansas University Physicians Inc and her current practice location is 30 N 1900 E Rm 1a071, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-7553.

Kelly Dahlstrom is licensed to practice in Utah (license number 11262272-1204) 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 1134533417.

Contact Information

Kelly Dahlstrom, DO
30 N 1900 E Rm 1a071,
Salt Lake City, UT 84132-2140
(801) 581-7553
Not Available

Map and Direction




Physician's Profile

Full NameKelly Dahlstrom
GenderFemale
SpecialityDiagnostic Radiology
Experience11 Years
Location30 N 1900 E Rm 1a071, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Dahlstrom attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2014
  NPI Data:
  • NPI Number: 1134533417
  • Provider Enumeration Date: 06/16/2014
  • Last Update Date: 05/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5496052474
  • Enrollment ID: I20210723001610

Medical Identifiers

Medical identifiers for Kelly Dahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134533417NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 11262272-1204 (Utah)Secondary
2085N0700XRadiology - Neuroradiology 11262272-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Kansas HospitalKansas city, KSHospital
University Of Ks Hlth System Great Bend CampusGreat bend, KSHospital
Freeman Health System - Freeman WestJoplin, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kansas University Physicians Inc89219115871576

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. Kelly Dahlstrom allows following entities to bill medicare on her behalf.
Entity NameKansas University Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003858333
PECOS PAC ID: 8921911587
Enrollment ID: O20040401000328
Entity NameKansas University Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922144856
PECOS PAC ID: 8921911587
Enrollment ID: O20101228000020

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. Kelly Dahlstrom 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
Kelly Dahlstrom, DO
30 N 1900 E Rm 1a071,
Salt Lake City, UT 84132-2140

Ph: (801) 581-7553		Kelly Dahlstrom, DO
30 N 1900 E Rm 1a071,
Salt Lake City, UT 84132-2140

Ph: (801) 581-7553

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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