Kimberly Ann Huerth, MD is a medicare enrolled "Dermatology" physician in West Jordan, Utah. Her current practice location is
3592 W 9000 S, West Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 298-3802.
Kimberly Ann Huerth is licensed to practice in Utah (license number 11765776-1205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437503687.
Physician's Profile
Full Name | Kimberly Ann Huerth |
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Gender | Female |
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Speciality | Dermatology |
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Location | 3592 W 9000 S, West Jordan, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437503687
- Provider Enumeration Date: 04/13/2016
- Last Update Date: 03/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991092751
- Enrollment ID: I20240426001820
Medical Identifiers
Medical identifiers for Kimberly Ann Huerth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437503687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207NS0135X | Dermatology - Procedural Dermatology | 11765776-1205 (Utah) | Secondary |
207N00000X | Dermatology | 11765776-1205 (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. Kimberly Ann Huerth allows following entities to bill medicare on her behalf.
Entity Name | Integrated Dermatology Of Bountiful Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629396841 PECOS PAC ID: 6507990793 Enrollment ID: O20100810000181 |
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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. Kimberly Ann Huerth 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 |
Kimberly Ann Huerth, MD 611 S Main St Unit 812, Salt Lake City, UT 84111-4118 Ph: (617) 304-9666 | Kimberly Ann Huerth, MD 3592 W 9000 S, West Jordan, UT 84088-8859 Ph: (801) 298-3802 |
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