Kristin Becker, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" in Salt Lake City, Utah. Her current practice location is
501 S Chipeta Way, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(303) 775-6543.
Kristin Becker is licensed to practice in Utah (license number 10682211-1204) 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 1346370491.
Provider's Profile
Full Name | Kristin Becker |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 501 S Chipeta Way, Salt Lake City, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346370491
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 10/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052667235
- Enrollment ID: I20180629001987
Medical Identifiers
Medical identifiers for Kristin Becker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346370491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA2002-0038 (New Mexico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 10682211-1204 (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. Kristin Becker allows following entities to bill medicare on her behalf.
Entity Name | Moab Valley Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20040114000346 |
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Entity Name | University Of Utah Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
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Entity Name | University Of Utah Acuity Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392 |
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Entity Name | University Of Utah Pediatric Acuity Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 |
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Entity Name | University Of Utah Pediatric Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
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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. Kristin Becker 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 |
Kristin Becker, DO 3410 E La Vie Ln, Cottonwood Heights, UT 84093-1209 Ph: (303) 775-6543 | Kristin Becker, DO 501 S Chipeta Way, Salt Lake City, UT 84108-1222 Ph: (303) 775-6543 |
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