Hannah D Wolsiefer-leak, MD in Salt Lake City, UT

Hannah D Wolsiefer-leak, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. Her current practice location is Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-2121.

Hannah D Wolsiefer-leak is licensed to practice in Utah (license number 13621084-1205) 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 1043741010.

Contact Information

	Hannah D Wolsiefer-leak, MD
	Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112
	(801) 581-2121
	Not Available

Map and Direction

Physician's Profile

Full Name	Hannah D Wolsiefer-leak
Gender	Female
Speciality	Emergency Medicine
Location	Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043741010
Provider Enumeration Date: 03/22/2017
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 0345511218
Enrollment ID: I20200623002807

Medical Identifiers

Medical identifiers for Hannah D Wolsiefer-leak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043741010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0002X	Internal Medicine - Hospice And Palliative Medicine	13621084-1205 (Utah)	Secondary
207P00000X	Emergency Medicine	13621084-1205 (Utah)	Primary
207P00000X	Emergency Medicine	MD2019-0695 (New Mexico)	Secondary
207P00000X	Emergency Medicine	MD198199 (Oregon)	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. Hannah D Wolsiefer-leak allows following entities to bill medicare on her behalf.

Entity Name	Asante
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238

Entity Name	Southern Coos Health District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588684484 PECOS PAC ID: 1951219310 Enrollment ID: O20040526000542

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. Hannah D Wolsiefer-leak 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
Hannah D Wolsiefer-leak, MD 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476	Hannah D Wolsiefer-leak, MD Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Ph: (801) 581-2121

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Joshua A. Berko, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Hannah D Wolsiefer-leak, MD - Medicare Emergency Medicine in Salt Lake City, UT