Kellen Hirsch, MD in Salt Lake City, UT - Medicare Internal Medicine

Kellen Hirsch, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Salt Lake City, Utah. His current practice location is Helix: 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2121.

Kellen Hirsch is licensed to practice in Utah (license number 13891964-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225659170.

Contact Information

	Kellen Hirsch, MD
	Helix: 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, UT 84112-5095
	(801) 581-2121
	Not Available

Map and Direction

Physician's Profile

Full Name	Kellen Hirsch
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	Helix: 30 N Mario Capecchi Dr Rm 3n100, 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: 1225659170
Provider Enumeration Date: 05/01/2020
Last Update Date: 03/29/2024

Medicare PECOS Information:

PECOS PAC ID: 9032535422
Enrollment ID: I20230720001551

Medical Identifiers

Medical identifiers for Kellen Hirsch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225659170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD61283933 (Washington)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	MD61283933 (Washington)	Secondary
208M00000X	Hospitalist	MD61283933 (Washington)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	13891964-1205 (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. Kellen Hirsch allows following entities to bill medicare on his behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

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. Kellen Hirsch 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
Kellen Hirsch, MD Helix: 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, UT 84112-5095 Ph: (801) 581-2121	Kellen Hirsch, MD Helix: 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, UT 84112-5095 Ph: (801) 581-2121

Reviews and Comments

Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
Dr. Willard Dere, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Megan Meier, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Siddharth K. Iyengar, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Kellen Hirsch, MD - Medicare Internal Medicine in Salt Lake City, UT