Kristen M Durbin, MD - Medicare Pediatrics in Salt Lake City, UT

Kristen M Durbin, MD is a medicare enrolled "Pediatrics" physician in Salt Lake City, Utah. Her current practice location is 100 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-2121.

Kristen M Durbin is licensed to practice in Utah (license number 11956942-1205) 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 1639631740.

Contact Information

Kristen M Durbin, MD
100 N Mario Capecchi Dr,
Salt Lake City, UT 84113-1103
(801) 581-2121
Not Available

Map and Direction




Physician's Profile

Full NameKristen M Durbin
GenderFemale
SpecialityPediatrics
Location100 N Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639631740
  • Provider Enumeration Date: 04/05/2019
  • Last Update Date: 09/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7214356567
  • Enrollment ID: I20230320002868

Medical Identifiers

Medical identifiers for Kristen M Durbin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639631740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 11956942-1205 (Utah)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 11956942-1205 (Utah)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208000000XPediatrics 11956942-1205 (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. Kristen M Durbin allows following entities to bill medicare on her behalf.
Entity NameSalt Lake Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295066116
PECOS PAC ID: 6709915473
Enrollment ID: O20120315000189

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. Kristen M Durbin 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 AddressPractice Location Address
Kristen M Durbin, MD
81 N Mario Capecchi Dr Rm 1a.001,
Salt Lake City, UT 84113-1125

Ph: () -
Kristen M Durbin, MD
100 N Mario Capecchi Dr,
Salt Lake City, UT 84113-1103

Ph: (801) 581-2121

Reviews and Comments


Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D.
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Kaitlin Carpenter,
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Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113
Phone: 801-662-1000    
Dr. Thomas Patrick Curtin, M.D.
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Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113
Phone: 801-662-5700    
Anastasiya Mankouski, MD
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Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107
Phone: 801-507-7000    
Joslynn Marie Hoburg, MD
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Medicare: Medicare Enrolled
Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108
Phone: 801-581-2121    
George W Delavan, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132
Phone: 801-584-8239    Fax: 801-584-8588

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.