L Kristin Shadow, MD in Salt Lake City, UT - Medicare Psychiatry & Neurology

L Kristin Shadow, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Salt Lake City, Utah. Her current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-7951.

L Kristin Shadow is licensed to practice in Utah (license number 3282171205) 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 1922028497.

Contact Information

	L Kristin Shadow, MD
	50 N Medical Dr, Salt Lake City, UT 84132-0100
	(801) 581-7951
	Not Available

Map and Direction

Physician's Profile

Full Name	L Kristin Shadow
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922028497
Provider Enumeration Date: 07/20/2006
Last Update Date: 11/19/2013

Medicare PECOS Information:

PECOS PAC ID: 0345408571
Enrollment ID: I20120220000836

Medical Identifiers

Medical identifiers for L Kristin Shadow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922028497	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	3282171205 (Utah)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	328217-1205 (Utah)	Secondary

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. L Kristin Shadow allows following entities to bill medicare on her behalf.

Entity Name	Uhs Of Provo Canyon Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457617409 PECOS PAC ID: 8729250543 Enrollment ID: O20121015000587

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

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. L Kristin Shadow 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
L Kristin Shadow, MD Po Box 413029, Salt Lake City, UT 84141-3029 Ph: (801) 213-3900	L Kristin Shadow, MD 50 N Medical Dr, Salt Lake City, UT 84132-0100 Ph: (801) 581-7951

Reviews and Comments

Psychiatry & Neurology Doctors in Salt Lake City, UT

Dr. Eric Thayne Monson, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096
Dr. Gerald Martin Lazar, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2005 E 2700 S, Suite 180, Salt Lake City, UT 84109 Phone: 801-746-2297 Fax: 801-322-3890
Muharrem B. Baytunca, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-4096
Leah M. Fortson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Huntsman Mental Health Institute, 501 Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096
Christopher R. Sweeney, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-7951 Fax: 801-581-5604
Norman L. Foster, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-6387
Dr. Amy Gallop Weagley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-2121

L Kristin Shadow, MD - Medicare Psychiatry & Neurology in Salt Lake City, UT