Kimball Hafen, in Saint George, UT - Medicare Nurse Practitioner

Kimball Hafen, is a medicare enrolled "Nurse Practitioner - Family" in Saint George, Utah. Her current practice location is 1380 E Medical Center Dr, Saint George, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 251-2500.

Kimball Hafen is licensed to practice in Utah (license number 8659483-4405) 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 1427735794.

Contact Information

	Kimball Hafen,
	1380 E Medical Center Dr, Saint George, UT 84790-2123
	(435) 251-2500
	(435) 656-4907

Map and Direction

Provider's Profile

Full Name	Kimball Hafen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1380 E Medical Center Dr, Saint George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427735794
Provider Enumeration Date: 06/29/2023
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 5698124469
Enrollment ID: I20231206001071

Medical Identifiers

Medical identifiers for Kimball Hafen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427735794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	8659483-3102 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	8659483-4405 (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. Kimball Hafen 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. Kimball Hafen 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
Kimball Hafen, Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Kimball Hafen, 1380 E Medical Center Dr, Saint George, UT 84790-2123 Ph: (435) 251-2500

Reviews and Comments

Nurse Practitioner Nurses in Saint George, UT

Aubrey Ann Crittenden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2133 Kennedy Pl, Saint George, UT 84790 Phone: 435-253-0862
Russell L Rohr, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, Saint George, UT 84790 Phone: 435-251-1600 Fax: 435-251-1610
Angela Stout, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, Saint George, UT 84790 Phone: 435-251-2992
Cameron Debuck, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 S Bluff St Ste 302, Saint George, UT 84770 Phone: 435-634-8488
Christopher George Lamb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 640 E 700 S Ste 105, Saint George, UT 84770 Phone: 435-688-7770 Fax: 435-688-8122
Maranda Ann Nelson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 652 S Medical Center Dr Ste 420, Saint George, UT 84790 Phone: 435-251-6800
Raquel Wall, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1490 E Foremaster Dr Ste 320, Saint George, UT 84790 Phone: 435-359-3115 Fax: 435-319-7123

Kimball Hafen, - Medicare Nurse Practitioner in Saint George, UT