Kelly Marvin Jeppesen, MD in Monticello, UT

Kelly Marvin Jeppesen, MD is a medicare enrolled "Family Medicine" physician in Monticello, Utah. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice San Juan County Hospital, San Juan County Hospital, The Makana North Shore Clinic and his current practice location is 380 West 100 North, Suite A, Monticello, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 587-5054.

Kelly Marvin Jeppesen is licensed to practice in Utah (license number 7730032-1205) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1568790558.

Contact Information

	Kelly Marvin Jeppesen, MD
	380 West 100 North, Suite A, Monticello, UT 84535-1054
	(435) 587-5054
	(435) 587-3004

Map and Direction

Physician's Profile

Full Name	Kelly Marvin Jeppesen
Gender	Male
Speciality	Family Practice
Experience	16 Years
Location	380 West 100 North, Monticello, Utah
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Marvin Jeppesen graduated from medical school in 2009

NPI Data:

NPI Number: 1568790558
Provider Enumeration Date: 12/02/2009
Last Update Date: 08/06/2015

Medicare PECOS Information:

PECOS PAC ID: 6608060876
Enrollment ID: I20101101001549

Medical Identifiers

Medical identifiers for Kelly Marvin Jeppesen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568790558	NPI	-	NPPES
1568790558	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	7730032-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rocky Mountain Home Care	Layton, UT	Home health agency
San Juan Hospital	Monticello, UT	Hospital
Mercy Regional Medical Center	Durango, CO	Hospital
Southwest Memorial Hospital	Cortez, CO	Hospital
Blue Mountain Hospital	Blanding, UT	Hospital
Four Corners Regional Care Center	Blanding, UT	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Juan County Hospital	4486541851	15
San Juan County Hospital	4486541851	15
The Makana North Shore Clinic	8426308883	23

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 Marvin Jeppesen allows following entities to bill medicare on his behalf.

Entity Name	San Juan County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659315877 PECOS PAC ID: 4486541851 Enrollment ID: O20040301000938

Entity Name	San Juan County Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1942251459 PECOS PAC ID: 4486541851 Enrollment ID: O20060905000582

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 Marvin Jeppesen 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
Kelly Marvin Jeppesen, MD Po Box 308, Monticello, UT 84535-0308 Ph: (435) 587-2116	Kelly Marvin Jeppesen, MD 380 West 100 North, Suite A, Monticello, UT 84535-1054 Ph: (435) 587-5054

Reviews and Comments

Family Medicine Doctors in Monticello, UT

Dr. Douglas Zeb Crofts, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 W. 100 N., Monticello, UT 84535 Phone: 435-587-5054 Fax: 435-587-3004
Michael Ray Nielson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 W. 100 North, Monticello, UT 84535 Phone: 435-587-2116
Dr. Paul R. Reay, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 364 West 100 North, Monticello, UT 84535 Phone: 435-587-2116
Jeanne Wigant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 W 100 N, Monticello, UT 84535 Phone: 435-587-1148

Kelly Marvin Jeppesen, MD - Medicare Family Practice in Monticello, UT