Kellie Garrett, is a medicare enrolled "Advanced Practice Midwife" in Riverton, Utah. Her current practice location is
3723 W 12600 S Ste 360, Riverton, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 285-4700.
Kellie Garrett is licensed to practice in Utah (license number 11330909-4405) 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 1275102782.
Provider's Profile
| Full Name | Kellie Garrett |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 3723 W 12600 S Ste 360, Riverton, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275102782
- Provider Enumeration Date: 06/18/2021
- Last Update Date: 03/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820453996
- Enrollment ID: I20230424002609
Medical Identifiers
Medical identifiers for Kellie Garrett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275102782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 11330909-4405 (Utah) | Primary |
| 163WE0003X | Registered Nurse - Emergency | 11330909-3102 (Utah) | Secondary |
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. Kellie Garrett allows following entities to bill medicare on her behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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. Kellie Garrett 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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Kellie Garrett,
Po Box 27128,
Salt Lake City, UT 84127-0128
Ph: () - | Kellie Garrett,
3723 W 12600 S Ste 360,
Riverton, UT 84065-7296
Ph: (801) 285-4700 |
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