Mckenzie Kay Azevedo, in Draper, UT - Medicare Family Medicine

Mckenzie Kay Azevedo, is a medicare enrolled "Family Medicine" physician in Draper, Utah. Her current practice location is 12473 S Minuteman Dr, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 495-7900.

Mckenzie Kay Azevedo is licensed to practice in Utah (license number 9428379-4405) 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 1730765504.

Contact Information

	Mckenzie Kay Azevedo,
	12473 S Minuteman Dr, Draper, UT 84020-7870
	(801) 495-7900
	Not Available

Map and Direction

Physician's Profile

Full Name	Mckenzie Kay Azevedo
Gender	Female
Speciality	Family Medicine
Location	12473 S Minuteman Dr, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730765504
Provider Enumeration Date: 03/22/2021
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 9133563273
Enrollment ID: I20240216002813

Medical Identifiers

Medical identifiers for Mckenzie Kay Azevedo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730765504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	9428379-4405 (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. Mckenzie Kay Azevedo 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. Mckenzie Kay Azevedo 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
Mckenzie Kay Azevedo, Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 495-7900	Mckenzie Kay Azevedo, 12473 S Minuteman Dr, Draper, UT 84020-7870 Ph: (801) 495-7900

Reviews and Comments

Family Medicine Doctors in Draper, UT

Rachel Jane Richard, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 12176 S 1000 E Ste 4, Draper, UT 84020 Phone: 801-572-3750
Dr. Gordon Thier Oremland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12422 S 450 E, Draper, UT 84020 Phone: 801-748-1600 Fax: 801-748-1601
Geoffrey Thomas Osmond, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 11760 S 700 E Ste 112, Draper, UT 84020 Phone: 801-572-1186
Dr. Robert D Williams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-965-3600
Jessica Wilkinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13953 S Bangerter Pkwy, Draper, UT 84020 Phone: 385-900-4090 Fax: 801-365-1033
Daniel Trevor Young, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020 Phone: 801-572-0311
Harold N Gooch, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12176 South 1000 East, Draper, UT 84020 Phone: 801-572-3750 Fax: 801-572-1097

Mckenzie Kay Azevedo, - Medicare Family Medicine in Draper, UT