Marianne Augustine Kavan, MD in Salt Lake City, UT

Marianne Augustine Kavan, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Salt Lake City, Utah. Her current practice location is 295 S Chipeta Way, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (703) 862-9076.

Marianne Augustine Kavan is licensed to practice in Utah (license number 959965-1205) 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 1245486422.

Contact Information

	Marianne Augustine Kavan, MD
	295 S Chipeta Way, Salt Lake City, UT 84108-1287
	(703) 862-9076
	Not Available

Map and Direction

Physician's Profile

Full Name	Marianne Augustine Kavan
Gender	Female
Speciality	Pediatrics - Pediatric Gastroenterology
Location	295 S Chipeta Way, 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: 1245486422
Provider Enumeration Date: 08/07/2008
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 7214227388
Enrollment ID: I20160601001785

Medical Identifiers

Medical identifiers for Marianne Augustine Kavan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245486422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MT193865 (Pennsylvania)	Secondary
208000000X	Pediatrics	959965-1205 (Utah)	Secondary
2080T0004X	Pediatrics - Pediatric Transplant Hepatology	959965-1205 (Utah)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	959965-1205 (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. Marianne Augustine Kavan allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Marianne Augustine Kavan 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
Marianne Augustine Kavan, MD 295 S Chipeta Way, Salt Lake City, UT 84108-1287 Ph: (703) 862-9076	Marianne Augustine Kavan, MD 295 S Chipeta Way, Salt Lake City, UT 84108-1287 Ph: (703) 862-9076

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics 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
Michelle Ploutz, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 018-213-7778

Marianne Augustine Kavan, MD - Medicare Pediatrics in Salt Lake City, UT