Kimball Lael Christianson, MD in Provo, UT - Medicare Diagnostic Radiology

Kimball Lael Christianson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Provo, Utah. He went to Vanderbilt University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1055 N 500 W, Suite 112, Bldg. C, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 812-4624.

Kimball Lael Christianson is licensed to practice in Utah (license number 10926114-1205) 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 1316113228.

Contact Information

	Kimball Lael Christianson, MD
	1055 N 500 W, Suite 112, Bldg. C, Provo, UT 84604
	(801) 812-4624
	(801) 812-4699

Map and Direction

Physician's Profile

Full Name	Kimball Lael Christianson
Gender	Male
Speciality	Diagnostic Radiology
Experience	19 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:

Kimball Lael Christianson attended and graduated from Vanderbilt University School Of Medicine in 2005

NPI Data:

NPI Number: 1316113228
Provider Enumeration Date: 05/01/2008
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 1456482306
Enrollment ID: I20181212003735

Medical Identifiers

Medical identifiers for Kimball Lael Christianson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316113228	NPI	-	NPPES
1306895016	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	2010-00277 (North Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD153988 (Oregon)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	M-11249 (Idaho)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	135137 (North Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	10926114-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Timpanogos Regional Hospital	Orem, UT	Hospital
Jordan Valley Medical Center	West jordan, UT	Hospital
Mountain View Hospital	Payson, UT	Hospital

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. Kimball Lael Christianson 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. Kimball Lael Christianson 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
Kimball Lael Christianson, MD 1055 N 500 W, Attn. Credentialing, Provo, UT 84604-4649 Ph: (801) 354-8225	Kimball Lael Christianson, MD 1055 N 500 W, Suite 112, Bldg. C, Provo, UT 84604 Ph: (801) 812-4624

Reviews and Comments

Radiology Doctors in Provo, UT

Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525
Samuel Lynn Southam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 801-357-7626
Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850
Dr. Derek Scott Bergeson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Phone: 801-354-8225 Fax: 801-418-0941
Dalton H Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
Justin Marshall, Radiology Medicare: Medicare Enrolled Practice Location: 1055 N 300 W Ste 104, Provo, UT 84604 Phone: 801-379-6700 Fax: 801-225-1525

Kimball Lael Christianson, MD - Medicare Diagnostic Radiology in Provo, UT