Kimberly Ann Pettit, MD in American Fork, UT

Kimberly Ann Pettit, MD is a medicare enrolled "Dermatology" physician in American Fork, Utah. She went to Georgetown University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 98 N 1100 E, Suite 301, American Fork, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 492-2300.

Kimberly Ann Pettit is licensed to practice in Indiana (license number 01056997A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093789299.

Contact Information

	Kimberly Ann Pettit, MD
	98 N 1100 E, Suite 301, American Fork, UT 84003-2935
	(801) 492-2300
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Ann Pettit
Gender	Female
Speciality	Dermatology
Experience	23 Years
Location	98 N 1100 E, American Fork, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Ann Pettit attended and graduated from Georgetown University School Of Medicine in 2001

NPI Data:

NPI Number: 1093789299
Provider Enumeration Date: 02/14/2006
Last Update Date: 10/01/2021

Medicare PECOS Information:

PECOS PAC ID: 9638362114
Enrollment ID: I20101015000860

Medical Identifiers

Medical identifiers for Kimberly Ann Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093789299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	01056997A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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 Pettit allows following entities to bill medicare on her behalf.

Entity Name	Dermatology Division University Of Utah Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922096114 PECOS PAC ID: 9638073497 Enrollment ID: O20031122000107

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

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 Pettit 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 Pettit, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 492-2300	Kimberly Ann Pettit, MD 98 N 1100 E, Suite 301, American Fork, UT 84003-2935 Ph: (801) 492-2300

Reviews and Comments

Dermatology Doctors in American Fork, UT

Stewart W West, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 98 N 1100 E, Suite 301, American Fork, UT 84003 Phone: 801-492-2300
Dr. Brent H. Goodsell, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 162 S. 1100 E., American Fork, UT 84003 Phone: 801-756-9669 Fax: 801-756-0202
Aaron Jacob Peterson, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 48 N 1100 E, American Fork, UT 84003 Phone: 801-642-2950 Fax: 801-642-2951

Kimberly Ann Pettit, MD - Medicare Dermatology in American Fork, UT