Kristin Becker, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" in Salt Lake City, Utah. Her current practice location is
501 S Chipeta Way, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(303) 775-6543.
Kristin Becker is licensed to practice in Utah (license number 10682211-1204) 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 1346370491.
Provider's Profile
| Full Name | Kristin Becker |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 501 S Chipeta Way, Salt Lake City, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346370491
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 10/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052667235
- Enrollment ID: I20180629001987
Medical Identifiers
Medical identifiers for Kristin Becker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346370491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA2002-0038 (New Mexico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 10682211-1204 (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. Kristin Becker allows following entities to bill medicare on her behalf.
| Entity Name | Moab Valley Healthcare, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20040114000346 |
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| Entity Name | University Of Utah Behavioral Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
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| Entity Name | University Of Utah Acuity Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392 |
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| Entity Name | University Of Utah Pediatric Acuity Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 |
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| Entity Name | University Of Utah Pediatric Behavioral Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
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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. Kristin Becker 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 |
Kristin Becker, DO 3410 E La Vie Ln, Cottonwood Heights, UT 84093-1209 Ph: (303) 775-6543 | Kristin Becker, DO 501 S Chipeta Way, Salt Lake City, UT 84108-1222 Ph: (303) 775-6543 |
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