Kelly Marvin Jeppesen, MD - Medicare Family Practice in Monticello, UT

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Kelly Marvin Jeppesen, MD is a medicare enrolled "Family Medicine" physician in Monticello, Utah. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice San Juan County Hospital, San Juan County Hospital and his current practice location is 380 West 100 North, Suite A, Monticello, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 587-5054.

Kelly Marvin Jeppesen is licensed to practice in Utah (license number 7730032-1205) 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 1568790558.

Contact Information

Kelly Marvin Jeppesen, MD
380 West 100 North, Suite A,
Monticello, UT 84535-1054
(435) 587-5054
(435) 587-3004

Map and Direction




Physician's Profile

Full NameKelly Marvin Jeppesen
GenderMale
SpecialityFamily Practice
Experience15 Years
Location380 West 100 North, Monticello, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Marvin Jeppesen graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1568790558
  • Provider Enumeration Date: 12/02/2009
  • Last Update Date: 08/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6608060876
  • Enrollment ID: I20101101001549

Medical Identifiers

Medical identifiers for Kelly Marvin Jeppesen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568790558NPI-NPPES
1568790558MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 7730032-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Juan HospitalMonticello, UTHospital
Blue Mountain HospitalBlanding, UTHospital
Southwest Memorial HospitalCortez, COHospital
Four Corners Regional Care CenterBlanding, UTNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
San Juan County Hospital448654185114
San Juan County Hospital448654185114

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. Kelly Marvin Jeppesen allows following entities to bill medicare on his behalf.
Entity NameSan Juan County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659315877
PECOS PAC ID: 4486541851
Enrollment ID: O20040301000938
Entity NameSan Juan County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1942251459
PECOS PAC ID: 4486541851
Enrollment ID: O20060905000582

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. Kelly Marvin Jeppesen 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 AddressPractice Location Address
Kelly Marvin Jeppesen, MD
Po Box 308,
Monticello, UT 84535-0308

Ph: (435) 587-2116		Kelly Marvin Jeppesen, MD
380 West 100 North, Suite A,
Monticello, UT 84535-1054

Ph: (435) 587-5054

Reviews and Comments


Family Medicine Doctors in Monticello, UT

Dr. Douglas Zeb Crofts, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 380 W. 100 N., Monticello, UT 84535
Phone: 435-587-5054    Fax: 435-587-3004
Michael Ray Nielson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 380 W. 100 North, Monticello, UT 84535
Phone: 435-587-2116    
Dr. Paul R. Reay, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 364 West 100 North, Monticello, UT 84535
Phone: 435-587-2116    
Jeanne Wigant, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 380 W 100 N, Monticello, UT 84535
Phone: 435-587-1148    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.