Kendell Porter Coburn, DO in Ogden, UT - Medicare Internal Medicine

Kendell Porter Coburn, DO is a medicare enrolled "Internal Medicine" physician in Ogden, Utah. His current practice location is 425 E 5350 S Ste 103, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 298-0818.

Kendell Porter Coburn is licensed to practice in Utah (license number 12813168-1204) 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 1902365216.

Contact Information

	Kendell Porter Coburn, DO
	425 E 5350 S Ste 103, Ogden, UT 84405-6901
	(385) 298-0818
	(801) 205-4354

Map and Direction

Physician's Profile

Full Name	Kendell Porter Coburn
Gender	Male
Speciality	Internal Medicine
Location	425 E 5350 S Ste 103, Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902365216
Provider Enumeration Date: 03/16/2019
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 5799011995
Enrollment ID: I20220713002817

Medical Identifiers

Medical identifiers for Kendell Porter Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902365216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MED-RES-LIC-77254 (Montana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	12813168-1204 (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. Kendell Porter Coburn allows following entities to bill medicare on his behalf.

Entity Name	Joshua Oaks
Entity Type	Practitioner - Internal Medicine
Entity Identifiers	NPI Number: 1205221405 PECOS PAC ID: 0244594729 Enrollment ID: I20180509001485

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. Kendell Porter Coburn 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
Kendell Porter Coburn, DO 425 E 5350 S Ste 103, Ogden, UT 84405-6901 Ph: (385) 298-0818	Kendell Porter Coburn, DO 425 E 5350 S Ste 103, Ogden, UT 84405-6901 Ph: (385) 298-0818

Reviews and Comments

Internal Medicine Doctors in Ogden, UT

Mikhail Shipotko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800
Ewa Gniado, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910
Jaclyn Nguyen, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900
Dr. Timothy Trask, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-3654
Gregory T Almony, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E, Suite #204, Ogden, UT 84405 Phone: 801-479-0194 Fax: 801-479-5642
Brian W Pugh, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405 Phone: 801-475-5400 Fax: 801-475-8614
Dr. Jack D Wahlen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910

Kendell Porter Coburn, DO - Medicare Internal Medicine in Ogden, UT