Kellen Tage Hansen, DO in Lehi, UT - Medicare Family Practice

Kellen Tage Hansen, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Lehi, Utah. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sportsmed Associates Llc, Caribou Medical Center, Inc and his current practice location is 3401 N Center St Ste 100, Lehi, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 753-7770.

Kellen Tage Hansen is licensed to practice in Utah (license number 10266619-1204) 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 1396007316.

Contact Information

	Kellen Tage Hansen, DO
	3401 N Center St Ste 100, Lehi, UT 84043
	(801) 753-7770
	(801) 753-7775

Map and Direction

Physician's Profile

Full Name	Kellen Tage Hansen
Gender	Male
Speciality	Family Practice
Experience	12 Years
Location	3401 N Center St Ste 100, Lehi, 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:

Kellen Tage Hansen graduated from medical school in 2012

NPI Data:

NPI Number: 1396007316
Provider Enumeration Date: 06/14/2012
Last Update Date: 11/21/2019

Medicare PECOS Information:

PECOS PAC ID: 6204071657
Enrollment ID: I20170630001472

Medical Identifiers

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

Identifier	Type	State	Issuer
1396007316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	02004307A (Indiana)	Secondary
207Q00000X	Family Medicine	10266619-1204 (Utah)	Secondary
207Q00000X	Family Medicine	02004307A (Indiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Indiana)	Secondary
207QS0010X	Family Medicine - Sports Medicine	10266619-1204 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sportsmed Associates Llc	6204140122	7
Caribou Medical Center, Inc	7618365701	21

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 Tage Hansen allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	Sportsmed Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285013987 PECOS PAC ID: 6204140122 Enrollment ID: O20150805007176

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 Tage Hansen 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 Tage Hansen, DO 3401 N Center St Ste 100, Lehi, UT 84043-7498 Ph: (801) 753-7770	Kellen Tage Hansen, DO 3401 N Center St Ste 100, Lehi, UT 84043 Ph: (801) 753-7770

Reviews and Comments

Family Medicine Doctors in Lehi, UT

Dr. Tauaina James Ngatuvai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 E. Main St., Lehi, UT 84043 Phone: 801-768-1699 Fax: 801-768-4526
Curtis A Nielsen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Center St Ste 100, Lehi, UT 84043 Phone: 801-753-7770 Fax: 801-753-7775
Dr. Gary L Child, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 W 3200 N, Lehi, UT 84043 Phone: 801-766-6055 Fax: 888-611-8840
Toran J Macarthur, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 E Main St, Lehi, UT 84043 Phone: 801-768-1699 Fax: 801-768-4526
Michael Brandon Hall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 801-429-8000 Fax: 801-766-5792
Cory Nelson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Center St Ste 100, Lehi, UT 84043 Phone: 801-753-7770 Fax: 801-753-7775
Robert Babbel, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3249 N 1200 W, Lehi, UT 84043 Phone: 801-753-4340

Kellen Tage Hansen, DO - Medicare Family Practice in Lehi, UT