Kimberly Elizabeth Souza, MD in Logan, UT - Medicare Orthopaedic Surgery

Kimberly Elizabeth Souza, MD is a medicare enrolled "Orthopaedic Surgery" physician in Logan, Utah. Her current practice location is 1350 N 500 E, Logan, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 716-2800.

Kimberly Elizabeth Souza is licensed to practice in Utah (license number 11414314-1205) 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 1134623358.

Contact Information

	Kimberly Elizabeth Souza, MD
	1350 N 500 E, Logan, UT 84341-2400
	(435) 716-2800
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Elizabeth Souza
Gender	Female
Speciality	Orthopaedic Surgery
Location	1350 N 500 E, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134623358
Provider Enumeration Date: 03/21/2018
Last Update Date: 11/21/2024

Medicare PECOS Information:

PECOS PAC ID: 0446683247
Enrollment ID: I20240826002959

Medical Identifiers

Medical identifiers for Kimberly Elizabeth Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134623358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	11414314-1205 (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 Elizabeth Souza allows following entities to bill medicare on her behalf.

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 Elizabeth Souza 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 Elizabeth Souza, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Kimberly Elizabeth Souza, MD 1350 N 500 E, Logan, UT 84341-2400 Ph: (435) 716-2800

Reviews and Comments

Orthopaedic Surgery Doctors in Logan, UT

Bryan C King, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 N 500 E, #130, Logan, UT 84341 Phone: 435-716-2800
Dr. Joseph Jay Stuart, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-2800
Dr. Gregory J Hicken, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 N 400 E, Ste A, Logan, UT 84341 Phone: 435-787-2000 Fax: 435-787-1913
Edwin Marlowe Goble, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521
Dr. Keith J Nelson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 N 400 E, Ste A, Logan, UT 84341 Phone: 435-787-2000 Fax: 435-787-1913
Dr. Terry I Finlayson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 N 400 E, Logan, UT 84341 Phone: 435-787-2000 Fax: 435-787-1913

Kimberly Elizabeth Souza, MD - Medicare Orthopaedic Surgery in Logan, UT