John K Staheli, MD in Provo, UT - Medicare Internal Medicine

John K Staheli, MD is a medicare enrolled "Internal Medicine" physician in Provo, Utah. He went to University Of Utah School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1055 N 500 W, Suite 212, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 374-2362.

John K Staheli is licensed to practice in Utah (license number 3189811205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275591620.

Contact Information

	John K Staheli, MD
	1055 N 500 W, Suite 212, Provo, UT 84604-3305
	(801) 374-2362
	(801) 429-8196

Map and Direction

Physician's Profile

Full Name	John K Staheli
Gender	Male
Speciality	Internal Medicine
Experience	30 Years
Location	1055 N 500 W, Provo, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John K Staheli attended and graduated from University Of Utah School Of Medicine in 1994

NPI Data:

NPI Number: 1275591620
Provider Enumeration Date: 05/03/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0648226571
Enrollment ID: I20050323001455

Medical Identifiers

Medical identifiers for John K Staheli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275591620	NPI	-	NPPES
44007	Other	UT	PEHP
QM0000000066	Other	UT	ALTIUS
110149403	Other	UT	PALMETTO GBA
870281028000	Medicaid	UT
870281028ST1	Other	UT	EMIA
107008295101	Other	UT	IHC HEALTHPLANS
308186	Other	UT	DMBA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RS0012X	Internal Medicine - Sleep Medicine	318981-1205 (Utah)	Secondary
207R00000X	Internal Medicine	3189811205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	386

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. John K Staheli allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. John K Staheli 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
John K Staheli, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	John K Staheli, MD 1055 N 500 W, Suite 212, Provo, UT 84604-3305 Ph: (801) 374-2362

Reviews and Comments

Internal Medicine Doctors in Provo, UT

Dr. Christopher Gordon, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 N 500 W Ste 200, Provo, UT 84601 Phone: 801-375-9292 Fax: 801-375-9290
Daniel N. Bennett, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 Phone: 801-373-4366
Dr. Christopher Ryan Lew, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558
Albert Rivero, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310
Dr. Wenshu Yu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604 Phone: 801-818-1940 Fax: 801-818-1945
William T. Stephenson Ii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604 Phone: 801-357-8200 Fax: 801-357-8201
Gregory E Craner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Suite 100 Bldg B, Provo, UT 84604 Phone: 801-374-1268 Fax: 801-429-8041

John K Staheli, MD - Medicare Internal Medicine in Provo, UT