Dr Kelli Jo Hyland, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Dpo, Armed Forces Americas. Her current practice location is
Unit 9100 Box 3203, Dpo, Armed Forces Americas. You can reach out to her office (for appointments etc.) via phone at
(801) 865-8932.
Dr Kelli Jo Hyland is licensed to practice in Utah (license number 6851342-1205) 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 1144494113.
Physician's Profile
Full Name | Dr Kelli Jo Hyland |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | Unit 9100 Box 3203, Dpo, Armed Forces Americas |
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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: 1144494113
- Provider Enumeration Date: 04/21/2008
- Last Update Date: 12/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274771936
- Enrollment ID: I20130607000630
Medical Identifiers
Medical identifiers for Dr Kelli Jo Hyland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144494113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 6851342-1205 (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. Dr Kelli Jo Hyland allows following entities to bill medicare on her behalf.
Entity Name | Physician Group Of Utah Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
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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. Dr Kelli Jo Hyland 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 |
Dr Kelli Jo Hyland, MD Unit 9100 Box 3203, Dpo, AA 34002-3203 Ph: (801) 865-8932 | Dr Kelli Jo Hyland, MD Unit 9100 Box 3203, Dpo, AA 34002-3203 Ph: (801) 865-8932 |
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