Lee Kilpack, PMHNP in North Salt Lake, UT - Medicare Nurse Practitioner

Lee Kilpack, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in North Salt Lake, Utah. His current practice location is 673 Parkway Dr, North Salt Lake, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 730-0648.

Lee Kilpack is licensed to practice in Utah (license number 287573-8900) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538991682.

Contact Information

	Lee Kilpack, PMHNP
	673 Parkway Dr, North Salt Lake, UT 84054-2607
	(435) 730-0648
	Not Available

Map and Direction

Provider's Profile

Full Name	Lee Kilpack
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	673 Parkway Dr, North Salt Lake, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538991682
Provider Enumeration Date: 08/16/2024
Last Update Date: 08/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6800223835
Enrollment ID: I20241029003405

Medical Identifiers

Medical identifiers for Lee Kilpack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538991682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	287573-8900 (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. Lee Kilpack allows following entities to bill medicare on his behalf.

Entity Name	Gadzoom Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770187163 PECOS PAC ID: 3476954793 Enrollment ID: O20210624000883

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. Lee Kilpack 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
Lee Kilpack, PMHNP 673 Parkway Dr, North Salt Lake, UT 84054-2607 Ph: (435) 730-0648	Lee Kilpack, PMHNP 673 Parkway Dr, North Salt Lake, UT 84054-2607 Ph: (435) 730-0648

Reviews and Comments

Nurse Practitioner Nurses in North Salt Lake, UT

Davin Narita Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Eugene St, North Salt Lake, UT 84054 Phone: 801-831-3329
Kristina K Bennett, DNP, FNP-BC, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Ridge Top Cir, North Salt Lake, UT 84054 Phone: 180-181-5102
Chidiebere Iheanacho, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Odell Ln, North Salt Lake, UT 84054 Phone: 801-867-0632
Patricia Mae Garcia, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 863 Wilstead Dr, North Salt Lake, UT 84054 Phone: 307-421-1638

Lee Kilpack, PMHNP - Medicare Nurse Practitioner in North Salt Lake, UT