Kirk Ronald Stephens, PA-C is a medicare enrolled "Dermatology" physician in Midvale, Utah. He went to University Of Utah School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Dermatology Center Of Salt Lake Inc., Ogden Clinic Specialty Services Llc and his current practice location is
7396 S Union Park Ave Ste 201, Midvale, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 567-1400.
Kirk Ronald Stephens is licensed to practice in Utah (license number 10476224-1206) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992221980.
Physician's Profile
| Full Name | Kirk Ronald Stephens |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 7396 S Union Park Ave Ste 201, Midvale, Utah |
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| Accepts Medicare Assignments | Yes. He 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:
- Kirk Ronald Stephens attended and graduated from University Of Utah School Of Medicine in 2017
NPI Data:
- NPI Number: 1992221980
- Provider Enumeration Date: 08/21/2017
- Last Update Date: 06/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406129527
- Enrollment ID: I20170911003133
Medical Identifiers
Medical identifiers for Kirk Ronald Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992221980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 10476224-1206 (Utah) | Primary |
| 363AM0700X | Physician Assistant - Medical | 10476224-1206 (Utah) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dermatology Center Of Salt Lake Inc. | 7810903259 | 3 |
| Ogden Clinic Specialty Services Llc | 1658781422 | 106 |
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. Kirk Ronald Stephens 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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Kirk Ronald Stephens, PA-C
166 E 5900 S Ste B111,
Murray, UT 84107-7293
Ph: (801) 268-9672 | Kirk Ronald Stephens, PA-C
7396 S Union Park Ave Ste 201,
Midvale, UT 84047-6702
Ph: (801) 567-1400 |
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