Amy B Killen, MD is a medicare enrolled "General Practice" physician in Draper, Utah. Her current practice location is
12340 S 450 E, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 501-9797.
Amy B Killen is licensed to practice in Utah (license number 9140981-1205) 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 1992779185.
Physician's Profile
Full Name | Amy B Killen |
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Gender | Female |
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Speciality | General Practice |
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Location | 12340 S 450 E, Draper, 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: 1992779185
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 04/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 6305875287
- Enrollment ID: I20160504002696
Medical Identifiers
Medical identifiers for Amy B Killen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992779185 | NPI | - | NPPES |
947509 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 33810 (Arizona) | Secondary |
208D00000X | General Practice | 9140981-1205 (Utah) | Primary |
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. Amy B Killen 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 |
Amy B Killen, MD 12340 S 450 E, Draper, UT 84020-8154 Ph: (801) 501-9797 | Amy B Killen, MD 12340 S 450 E, Draper, UT 84020-8154 Ph: (801) 501-9797 |
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