Kimberly Ann Huerth, MD is a medicare enrolled "Dermatology" physician in West Jordan, Utah. Her current practice location is
3592 W 9000 S, West Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 298-3802.
Kimberly Ann Huerth is licensed to practice in Utah (license number 11765776-1205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437503687.
Physician's Profile
| Full Name | Kimberly Ann Huerth |
|---|
| Gender | Female |
|---|
| Speciality | Dermatology |
|---|
| Location | 3592 W 9000 S, West Jordan, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437503687
- Provider Enumeration Date: 04/13/2016
- Last Update Date: 03/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991092751
- Enrollment ID: I20250425001856
Medical Identifiers
Medical identifiers for Kimberly Ann Huerth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437503687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207NS0135X | Dermatology - Procedural Dermatology | 11765776-1205 (Utah) | Secondary |
| 207N00000X | Dermatology | 11765776-1205 (Utah) | Primary |
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. Kimberly Ann Huerth allows following entities to bill medicare on her behalf.
| Entity Name | Epiphany Dermatology Of Montana, Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902455074 PECOS PAC ID: 9537593710 Enrollment ID: O20191220001305 |
|---|
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. Kimberly Ann Huerth 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 |
Kimberly Ann Huerth, MD 611 S Main St Unit 812, Salt Lake City, UT 84111-4118 Ph: (617) 304-9666 | Kimberly Ann Huerth, MD 3592 W 9000 S, West Jordan, UT 84088-8859 Ph: (801) 298-3802 |
Reviews and Comments